{"reporting_entity_name":"Molina-Healthcare-of-Ohio","reporting_entity_type":"health insurance issuer","last_updated_on":"2026-07-20","version":"2.0.0","provider_references":[{"provider_group_id":213469,"network_name":["OH Network"],"provider_groups":[{"npi":[1649890849],"tin":{"type":"ein","value":"843546179","business_name":"DEFY THERAPEUTICS LLC - DME 0133726"}},{"npi":[1023656022],"tin":{"type":"ein","value":"844016748","business_name":"BETTER HEALTH SUPPLIES INC - 0417916"}},{"npi":[1578937876],"tin":{"type":"ein","value":"364790476","business_name":"PEDIATRIC ORTHOTIC PROSTHETIC SERVICES MIDWEST LLC - 0312572"}},{"npi":[1780388470],"tin":{"type":"ein","value":"921574414","business_name":"APERTURE RX LLC - 0019741"}}]}],"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.88,"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":null,"billing_code":"G9354","description":"1 CT SCAN/NO CT SCAN PARNSL SS ORD 90 D AFTR DOD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 VISN  Plus /- 4.25- Plus / 7.00 SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2107","description":"1 VISN  Plus /- 4.25- Plus / 7.00 SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 4.25- Plus / 7.00 SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2107","description":"1 VISN  Plus /- 4.25- Plus / 7.00 SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 4.25-7.00D SPHERE OVER 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2110","description":"1 VISN  Plus /- 4.25-7.00D SPHERE OVER 6.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 4.25-7.00D SPHERE OVER 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2110","description":"1 VISN  Plus /- 4.25-7.00D SPHERE OVER 6.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 2.25D-400D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2112","description":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 2.25D-400D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 2.25D-400D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2112","description":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 2.25D-400D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2113","description":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2113","description":"1 VISN  Plus /- 7.25  Plus /- 12.00D SPH 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /-4.25D- Plus /-7.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2108","description":"1 VISN  Plus /-4.25D- Plus /-7.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /-4.25D- Plus /-7.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2108","description":"1 VISN  Plus /-4.25D- Plus /-7.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2111","description":"1 VISN  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2111","description":"1 VISN  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO TO Plus /-4.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2103","description":"1 VISN PLANO TO Plus /-4.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO TO Plus /-4.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2103","description":"1 VISN PLANO TO Plus /-4.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2104","description":"1 VISN PLANO- Plus /- 4.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2104","description":"1 VISN PLANO- Plus /- 4.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2105","description":"1 VISN PLANO- Plus /- 4.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2105","description":"1 VISN PLANO- Plus /- 4.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER OVER 6.00D CYL-LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2106","description":"1 VISN PLANO- Plus /- 4.00D SPHER OVER 6.00D CYL-LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN PLANO- Plus /- 4.00D SPHER OVER 6.00D CYL-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2106","description":"1 VISN PLANO- Plus /- 4.00D SPHER OVER 6.00D CYL-LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN Plus /- 4.25- Plus /- 7.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2109","description":"1 VISN Plus /- 4.25- Plus /- 7.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 VISN Plus /- 4.25- Plus /- 7.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2109","description":"1 VISN Plus /- 4.25- Plus /- 7.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.82,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":678.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":798.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":678.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":678.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":798.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99492","description":"1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99492","description":"1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99494","description":"1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99494","description":"1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"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":null,"billing_code":"4145F","description":"2 PLUS  ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2019-NCOV CORONAVIRUS SARS-COV-2/2019-NCOV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"U0002","description":"2019-NCOV CORONAVIRUS SARS-COV-2/2019-NCOV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.48,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D ECHO IMG and PST-PXESSING TEE/TTE CGEN CAR ANOMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93319","description":"3D ECHO IMG and PST-PXESSING TEE/TTE CGEN CAR ANOMAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D ECHO IMG and PST-PXESSING TEE/TTE CGEN CAR ANOMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93319","description":"3D ECHO IMG and PST-PXESSING TEE/TTE CGEN CAR ANOMAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.31,"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":null,"billing_code":"4165F","description":"3D-CRT OR INTENSITY MODUL RAD THXPY RECVD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.43,"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":"2022","billing_code":"90649","description":"4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.87,"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":null,"billing_code":"2024F","description":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.22,"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":"2022","billing_code":"90651","description":"9VHPV VACC 2/3 DOSE SCHED IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.22,"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":null,"billing_code":"G9754","description":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1980.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1980.39,"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":"2022","billing_code":"33782","description":"A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1980.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1980.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2141.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2141.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2141.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2141.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A/C WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4422","description":"A/C WRAP PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"A/C WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4422","description":"A/C WRAP PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.3525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.3525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABIOMEND MEMBRANE  and  ABIOMEND HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4356","description":"ABIOMEND MEMBRANE  and  ABIOMEND HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABIOMEND MEMBRANE  and  ABIOMEND HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4356","description":"ABIOMEND MEMBRANE  and  ABIOMEND HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABIOMEND XPLUS MEM and ABMD XPLUS HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4355","description":"ABIOMEND XPLUS MEM and ABMD XPLUS HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABIOMEND XPLUS MEM and ABMD XPLUS HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4355","description":"ABIOMEND XPLUS MEM and ABMD XPLUS HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABL1 GENE ANALYSIS KINASE DOMAIN VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81170","description":"ABL1 GENE ANALYSIS KINASE DOMAIN VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION  AND  RECONSTRUCTION ATRIA LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33254","description":"ABLATION  AND  RECONSTRUCTION ATRIA LIMITED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":854.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION  AND  RECONSTRUCTION ATRIA LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33254","description":"ABLATION  AND  RECONSTRUCTION ATRIA LIMITED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":854.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33256","description":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/BYPASS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1231.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1231.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33256","description":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/BYPASS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1231.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1231.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33255","description":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/O BYPASS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":980.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":980.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33255","description":"ABLATION  and  RCNSTJ ATRIA EXTNSV W/O BYPASS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":980.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":980.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1172.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1172.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1172.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1172.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":942.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":942.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION IRE LIVER 1 Plus  TUMORS W/IMG GDN PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47384","description":"ABLATION IRE LIVER 1 Plus  TUMORS W/IMG GDN PERQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":284.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":334.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION IRE LIVER 1 Plus  TUMORS W/IMG GDN PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47384","description":"ABLATION IRE LIVER 1 Plus  TUMORS W/IMG GDN PERQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":284.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":334.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION IRE PRST8 1 OR MORE TUMORS PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55877","description":"ABLATION IRE PRST8 1 OR MORE TUMORS PERCUTANEOUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":446.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":525.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION IRE PRST8 1 OR MORE TUMORS PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55877","description":"ABLATION IRE PRST8 1 OR MORE TUMORS PERCUTANEOUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":446.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":525.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION THER 1 PLUS  PULM TUMORS PERQ CRYOABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32994","description":"ABLATION THER 1 PLUS  PULM TUMORS PERQ CRYOABLATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":392.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4648.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4648.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION THER 1 PLUS  PULM TUMORS PERQ CRYOABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32994","description":"ABLATION THER 1 PLUS  PULM TUMORS PERQ CRYOABLATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":392.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4648.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4648.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION THER 1 PLUS  PULM TUMORS PERQ RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32998","description":"ABLATION THER 1 PLUS  PULM TUMORS PERQ RADIOFREQUENCY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1678.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1678.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":222.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION THER 1 PLUS  PULM TUMORS PERQ RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32998","description":"ABLATION THER 1 PLUS  PULM TUMORS PERQ RADIOFREQUENCY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1678.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1678.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":222.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION TRANSURETHRAL PRST8 TISSUE W/THERMAL US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55881","description":"ABLATION TRANSURETHRAL PRST8 TISSUE W/THERMAL US","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":310.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6223.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6223.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION TRANSURETHRAL PRST8 TISSUE W/THERMAL US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55881","description":"ABLATION TRANSURETHRAL PRST8 TISSUE W/THERMAL US","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":310.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6223.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6223.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20983","description":"ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":270.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":318.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5181.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5181.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20983","description":"ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":270.487,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":318.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5181.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5181.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLT TRURL PRST8 TIS THRM US INS TRURL US TRNSDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55882","description":"ABLT TRURL PRST8 TIS THRM US INS TRURL US TRNSDC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":381.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6443.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6443.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLT TRURL PRST8 TIS THRM US INS TRURL US TRNSDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55882","description":"ABLT TRURL PRST8 TIS THRM US INS TRURL US TRNSDC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":381.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6443.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6443.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1/ Plus THYR NDUL ADDL LOBE PERQ RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60661","description":"ABLTJ 1/ Plus THYR NDUL ADDL LOBE PERQ RADIOFREQUENCY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":292.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1/ Plus THYR NDUL ADDL LOBE PERQ RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60661","description":"ABLTJ 1/ Plus THYR NDUL ADDL LOBE PERQ RADIOFREQUENCY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":292.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1/ Plus THYROID NODULE 1 LOBE/ISTHMUS PERQ RF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60660","description":"ABLTJ 1/ Plus THYROID NODULE 1 LOBE/ISTHMUS PERQ RF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1756.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1756.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1/ Plus THYROID NODULE 1 LOBE/ISTHMUS PERQ RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60660","description":"ABLTJ 1/ Plus THYROID NODULE 1 LOBE/ISTHMUS PERQ RF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1756.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1756.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":945.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.475,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":945.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11468.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11468.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10137.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10137.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2965.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2965.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2914.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2914.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3052.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3052.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2035.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2035.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1847.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1847.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2060.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2060.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2235.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2235.58,"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":null,"billing_code":"G9505","description":"ABX REG PRSC W/I 10 DA AFTR ONSET SX DOC MED RSN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACAPATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4325","description":"ACAPATCH PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACAPATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4325","description":"ACAPATCH PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACC PT INS INDWELL IU DRN DEVC VLV REPLC ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4342","description":"ACC PT INS INDWELL IU DRN DEVC VLV REPLC ONLY EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":524.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACC PT INS INDWELL IU DRN DEVC VLV REPLC ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4342","description":"ACC PT INS INDWELL IU DRN DEVC VLV REPLC ONLY EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":524.8,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":652.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY CSTM GRAD COMP GMT SIL BAND ANY SIZE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6548","description":"ACCESSORY CSTM GRAD COMP GMT SIL BAND ANY SIZE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY CSTM GRAD COMP GMT SIL BAND ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6548","description":"ACCESSORY CSTM GRAD COMP GMT SIL BAND ANY SIZE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY FOR GRAD CPRSN GMT/WRAP ADJ STRAPS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6593","description":"ACCESSORY FOR GRAD CPRSN GMT/WRAP ADJ STRAPS NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY FOR GRAD CPRSN GMT/WRAP ADJ STRAPS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6593","description":"ACCESSORY FOR GRAD CPRSN GMT/WRAP ADJ STRAPS NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY FOR SPEECH GENERATING DEVICE NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2599","description":"ACCESSORY FOR SPEECH GENERATING DEVICE NOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY FOR SPEECH GENERATING DVC EMG SENSOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2513","description":"ACCESSORY FOR SPEECH GENERATING DVC EMG SENSOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":352.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3522.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3522.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIB/ARB/ARNI TH PRSC/CURRENTLY BEING TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2092","description":"ACE INHIB/ARB/ARNI TH PRSC/CURRENTLY BEING TAKEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PRSC/CURRENTLY BEING TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2092","description":"ACE INHIB/ARB/ARNI TH PRSC/CURRENTLY BEING TAKEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G2096","description":"ACE INHIB/ARB/ARNI TH WAS NOT PRSC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACELAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4395","description":"ACELAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACELAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4395","description":"ACELAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4312","description":"ACESSO AC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4312","description":"ACESSO AC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4293","description":"ACESSO DL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4293","description":"ACESSO DL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4311","description":"ACESSO PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4311","description":"ACESSO PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4300","description":"ACESSO TL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4300","description":"ACESSO TL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO TRIFACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4386","description":"ACESSO TRIFACA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO TRIFACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4386","description":"ACESSO TRIFACA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCHOLINE RECEPTOR BINDING ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86041","description":"ACETYLCHOLINE RECEPTOR BINDING ANTIBODY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86042","description":"ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86043","description":"ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIN SMOOTH MUSCLE ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86015","description":"ACTIN SMOOTH MUSCLE ANTIBODY EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVATE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4301","description":"ACTIVATE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVATE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4301","description":"ACTIVATE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.49,"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":null,"billing_code":"4250F","description":"ACTV WRMNG INTRAOP FOR NORMOTHERMIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUP 1 OR GT  NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97814","description":"ACUP 1 OR GT  NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT  NDLS W/ELEC STIMJ 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97813","description":"ACUPUNCTURE 1 OR GT  NDLS W/ELEC STIMJ 1ST 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT  NDLS W/ESTIM 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97813","description":"ACUPUNCTURE 1 OR GT  NDLS W/ESTIM 1ST 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT  NDLS W/ESTIM 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97813","description":"ACUPUNCTURE 1 OR GT  NDLS W/ESTIM 1ST 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT  NDLS W/ESTIM EACH ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97814","description":"ACUPUNCTURE 1 OR GT  NDLS W/ESTIM EACH ADDL 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT  NDLS W/ESTIM EACH ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97814","description":"ACUPUNCTURE 1 OR GT  NDLS W/ESTIM EACH ADDL 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.83,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.51,"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":"2022","billing_code":"78278","description":"ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.72,"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":null,"billing_code":"4130F","description":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1337","description":"ACUTE PVD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1337","description":"ACUTE PVD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.08,"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":"2022","billing_code":"78456","description":"ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE VITREOUS HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1333","description":"ACUTE VITREOUS HEMORRHAGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 VITREOUS HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1333","description":"ACUTE VITREOUS HEMORRHAGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPTER FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4282","description":"ADAPTER FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPTER FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4282","description":"ADAPTER FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":924.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":924.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2496.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2496.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2404.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2404.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1999.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1999.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3835.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3835.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":717.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":374.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1059.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1059.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":378.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":611.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2377.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2377.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":541.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":502.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1121.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1121.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1271.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1271.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1147.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN SYS 4 BAR LINK/MULTIAXIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5615","description":"ADD ENDOSKEL KNEE-SHIN SYS 4 BAR LINK/MULTIAXIAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5179.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5179.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1013.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN SYS PNEU SW  and  ST PH CTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5841","description":"ADD ENDOSKEL KNEE-SHIN SYS PNEU SW  and  ST PH CTRL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1465.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1465.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":364.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":337.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":495.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2154.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2154.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":740.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":274.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":384.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1866.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1866.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1542.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1542.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1105.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1105.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":717.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":551.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":228.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":279.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":477.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":330.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":683.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1099.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1099.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":590.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":750.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LENS; TINT COLOR SOLID EXCLD PHOTOCHRMATC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2745","description":"ADD LENS; TINT COLOR SOLID EXCLD PHOTOCHRMATC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LENS; TINT COLOR SOLID EXCLD PHOTOCHRMATC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2745","description":"ADD LENS; TINT COLOR SOLID EXCLD PHOTOCHRMATC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":475.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":356.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":398.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1080.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT JOINT KNEE/ANK CSTM FAB ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2861","description":"ADD LOW EXT JOINT KNEE/ANK CSTM FAB ONLY EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":298.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14493.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14493.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22628.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22628.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3470.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3470.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":310.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":353.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":432.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":340.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1710.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1710.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":532.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":416.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":277.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":215.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":289.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":358.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":940.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":940.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1559.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1559.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":228.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":403.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1160.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1160.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":794.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1029.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1282.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1282.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1999.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1999.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":284.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1000.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1365.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1365.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":183.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17518.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17518.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1029.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":398.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1025.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1610.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1610.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":409.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":728.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":249.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":343.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":515.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3976.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3976.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3771.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3771.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2920.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2920.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1489.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1489.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":625.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":745.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":745.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LWR EXT MECH RESIDUAL LIMB VOLUME MGMT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5783","description":"ADD LWR EXT MECH RESIDUAL LIMB VOLUME MGMT SYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2415.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2415.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD TO LE PROSTH ENDOSKEL KD AK HD ROT U ANY TYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5926","description":"ADD TO LE PROSTH ENDOSKEL KD AK HD ROT U ANY TYP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":415.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT JNT WRIST/ELB CSTM FAB ORTHOT ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3891","description":"ADD UP EXT JNT WRIST/ELB CSTM FAB ORTHOT ONLY EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS ADJ MECH RES LIMB VOL MGMT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7406","description":"ADD UP EXT PROS ADJ MECH RES LIMB VOL MGMT SYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2470.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2470.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":687.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":687.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":573.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1239.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1239.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1239.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1239.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":349.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":595.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":523.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":323.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":347.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":288.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":685.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":388.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":434.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":412.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":506.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":469.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":277.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":409.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":404.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":255.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":713.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":325.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LWR EXT PROSTHESES OI EXTRNL PROS CONN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5991","description":"ADDITION LWR EXT PROSTHESES OI EXTRNL PROS CONN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8775.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8775.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":179.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":360.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":426.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":636.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOMA(S)/NEOPLASM DETECTED SCRNG CLNSCPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3775F","description":"ADENOMA(S)/NEOPLASM DETECTED SCRNG CLNSCPY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOMA(S)/NEOPLASM DETECTED SCRNG CLNSCPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3775F","description":"ADENOMA(S)/NEOPLASM DETECTED SCRNG CLNSCPY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOMA(S)/NEOPLASM NOT DETECTED SCRNG CLNSCPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3776F","description":"ADENOMA(S)/NEOPLASM NOT DETECTED SCRNG CLNSCPY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOMA(S)/NEOPLASM NOT DETECTED SCRNG CLNSCPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3776F","description":"ADENOMA(S)/NEOPLASM NOT DETECTED SCRNG CLNSCPY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADH CLIP APP TO SKIN TO S EXT ELECL NS CTRL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4438","description":"ADH CLIP APP TO SKIN TO S EXT ELECL NS CTRL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADH CLIP APP TO SKIN TO S EXT ELECL NS CTRL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4438","description":"ADH CLIP APP TO SKIN TO S EXT ELECL NS CTRL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.54,"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":null,"billing_code":"G8855","description":"ADH TX NOT ASSD ANNU THRU OBJ INFO SYS/SR NO RSN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.26,"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":"2022","billing_code":"A7506","description":"ADHES DISC EXCHG SYS  and / W/TRACHEOSTOMA VALV EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":255.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":325.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":255.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":325.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":282.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":331.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":414.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":282.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":331.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":414.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":440.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":555.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":440.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":555.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":378.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":445.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":641.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":378.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":445.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":641.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":267.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":314.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":414.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":267.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":314.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":414.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":286.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":358.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":286.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":358.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":289.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":340.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":463.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":289.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":340.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":463.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":326.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":384.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":554.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":326.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":384.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":554.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":358.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":474.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":358.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":474.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUNCTIVE NONIMPLANTED CGM/RECEIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2102","description":"ADJUNCTIVE NONIMPLANTED CGM/RECEIVER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":227.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":267.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":227.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":267.08,"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":null,"billing_code":"4164F","description":"ADJUVANT HORMONAL THXPY RX/ADMIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SIZED DISPBL INCONT PROD BRF/DIAPER LG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4523","description":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER LG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER LG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4523","description":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER LG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER MED EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4522","description":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER MED EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER MED EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4522","description":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER MED EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER SM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4521","description":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER SM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER SM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4521","description":"ADLT SIZED DISPBL INCONT PROD BRF/DIAPER SM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD BRF/DIAPER X-LG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4524","description":"ADLT SZD DISPBL INCONT PROD BRF/DIAPER X-LG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD BRF/DIAPER X-LG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4524","description":"ADLT SZD DISPBL INCONT PROD BRF/DIAPER X-LG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD UNDWEAR MED EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4526","description":"ADLT SZD DISPBL INCONT PROD UNDWEAR MED EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD UNDWEAR MED EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4526","description":"ADLT SZD DISPBL INCONT PROD UNDWEAR MED EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD UNDWEAR XTRA LG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4528","description":"ADLT SZD DISPBL INCONT PROD UNDWEAR XTRA LG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD UNDWEAR XTRA LG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4528","description":"ADLT SZD DISPBL INCONT PROD UNDWEAR XTRA LG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD UNDWEAR/PULLON LG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4527","description":"ADLT SZD DISPBL INCONT PROD UNDWEAR/PULLON LG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD UNDWEAR/PULLON LG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4527","description":"ADLT SZD DISPBL INCONT PROD UNDWEAR/PULLON LG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD UNDWEAR/PULLON SM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4525","description":"ADLT SZD DISPBL INCONT PROD UNDWEAR/PULLON SM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT SZD DISPBL INCONT PROD UNDWEAR/PULLON SM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4525","description":"ADLT SZD DISPBL INCONT PROD UNDWEAR/PULLON SM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADM PNEC FLU HEP B A/O COVID-19 VAC PT HOME;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0201","description":"ADM PNEC FLU HEP B A/O COVID-19 VAC PT HOME;","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADM PNEC FLU HEP B A/O COVID-19 VAC PT HOME;","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0201","description":"ADM PNEC FLU HEP B A/O COVID-19 VAC PT HOME;","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.1,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.0,"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":"2022","billing_code":"A7006","description":"ADMIN SET W/SMALL VOLUME FILTR PNEUMAT NEBULIZR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION ASCVD RISK ASSESSMENT EVERY 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0537","description":"ADMINISTRATION ASCVD RISK ASSESSMENT EVERY 12 MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION ASCVD RISK ASSESSMENT EVERY 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0537","description":"ADMINISTRATION ASCVD RISK ASSESSMENT EVERY 12 MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF HEPATITIS B VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0010","description":"ADMINISTRATION OF HEPATITIS B VACCINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF HEPATITIS B VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0010","description":"ADMINISTRATION OF HEPATITIS B VACCINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","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":null,"billing_code":"G9480","description":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96380","description":"ADMN RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96380","description":"ADMN RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96381","description":"ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96381","description":"ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.51,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.15,"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":"2022","billing_code":"A7003","description":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.97,"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":null,"billing_code":"G9509","description":"ADULT 18 YR/OLDER MD/DYSTHYMIA REMISS AT 12 MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SIZE DISP INCONTINENCE PROD ABOVE XL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4543","description":"ADULT SIZE DISP INCONTINENCE PROD ABOVE XL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT SIZE DISP INCONTINENCE PROD ABOVE XL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4543","description":"ADULT SIZE DISP INCONTINENCE PROD ABOVE XL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT SIZE DISPBL INCONT PULLUP ABVE EXTRA LG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4544","description":"ADULT SIZE DISPBL INCONT PULLUP ABVE EXTRA LG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT SIZE DISPBL INCONT PULLUP ABVE EXTRA LG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4544","description":"ADULT SIZE DISPBL INCONT PULLUP ABVE EXTRA LG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.12,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PRICARE MGMT SRV PT MCR BENE MX CHR COND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0558","description":"ADV PRICARE MGMT SRV PT MCR BENE MX CHR COND","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV PRICARE MGMT SRV PT MCR BENE MX CHR COND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0558","description":"ADV PRICARE MGMT SRV PT MCR BENE MX CHR COND","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCE CARE PLANNING EA ADDL 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99498","description":"ADVANCE CARE PLANNING EA ADDL 30 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCE CARE PLANNING EA ADDL 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99498","description":"ADVANCE CARE PLANNING EA ADDL 30 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCE CARE PLANNING FIRST 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99497","description":"ADVANCE CARE PLANNING FIRST 30 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCE CARE PLANNING FIRST 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99497","description":"ADVANCE CARE PLANNING FIRST 30 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED LIFE SUPPORT LEVEL 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0433","description":"ADVANCED LIFE SUPPORT LEVEL 2","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":349.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED LIFE SUPPORT LEVEL 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0433","description":"ADVANCED LIFE SUPPORT LEVEL 2","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":349.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED PRICARE MGMT SRV PT MX 2/MORE CHR COND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0557","description":"ADVANCED PRICARE MGMT SRV PT MX 2/MORE CHR COND","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED PRICARE MGMT SRV PT MX 2/MORE CHR COND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0557","description":"ADVANCED PRICARE MGMT SRV PT MX 2/MORE CHR COND","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED PRICARE MGMT SRVC PT ONE CHR COND/FEWER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0556","description":"ADVANCED PRICARE MGMT SRVC PT ONE CHR COND/FEWER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED PRICARE MGMT SRVC PT ONE CHR COND/FEWER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0556","description":"ADVANCED PRICARE MGMT SRVC PT ONE CHR COND/FEWER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVOGRAFT DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4382","description":"ADVOGRAFT DUAL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVOGRAFT DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4382","description":"ADVOGRAFT DUAL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVOGRAFT ONE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4380","description":"ADVOGRAFT ONE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVOGRAFT ONE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4380","description":"ADVOGRAFT ONE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92653","description":"AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92653","description":"AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP THRESHOLD ESTIMATION MLT FREQUENCIES I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92652","description":"AEP THRESHOLD ESTIMATION MLT FREQUENCIES I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP THRESHOLD ESTIMATION MLT FREQUENCIES I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92652","description":"AEP THRESHOLD ESTIMATION MLT FREQUENCIES I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEROGUARD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4370","description":"AEROGUARD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEROGUARD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4370","description":"AEROGUARD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFAMELANOTIDE IMPLANT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7352","description":"AFAMELANOTIDE IMPLANT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFAMELANOTIDE IMPLANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7352","description":"AFAMELANOTIDE IMPLANT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFF2 GENE ANALYSIS CHARACTERIZATION OF ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81172","description":"AFF2 GENE ANALYSIS CHARACTERIZATION OF ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFF2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81171","description":"AFF2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFFINITY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4159","description":"AFFINITY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFFINITY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4159","description":"AFFINITY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":298.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":322.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":734.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":503.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":913.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":563.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":504.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO RGD ANT TIB SECT TTL CO FIB/ Equal to MATL PREFAB OTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1933","description":"AFO RGD ANT TIB SECT TTL CO FIB/ Equal to MATL PREFAB OTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":730.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO SPIRAL PLASTIC/OTH MATL PREFAB OFF THE SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1952","description":"AFO SPIRAL PLASTIC/OTH MATL PREFAB OFF THE SHELF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":650.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":492.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":403.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1066.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1066.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1147.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":517.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1147.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":517.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1147.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":517.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1016.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":406.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1016.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1016.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":406.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AI DS SLE ALYS 8 IGG AUTOANT and 2 CLL BOUND PRDCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0312U","description":"AI DS SLE ALYS 8 IGG AUTOANT and 2 CLL BOUND PRDCTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":630.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90694","description":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90694","description":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.36,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":219.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":219.74,"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":null,"billing_code":"3370F","description":"AJCC BREAST CANCER STAGE 0 DOCUMENTED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and /SUBST MISUSE ST ASMT  and  BRF INT 5-14 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2011","description":"ALCOHOL  and /SUBST MISUSE ST ASMT  and  BRF INT 5-14 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and /SUBST MISUSE ST ASMT  and  BRF INT 5-14 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2011","description":"ALCOHOL  and /SUBST MISUSE ST ASMT  and  BRF INT 5-14 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL OR PEROXIDE PER PINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4244","description":"ALCOHOL OR PEROXIDE PER PINT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL OR PEROXIDE PER PINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4244","description":"ALCOHOL OR PEROXIDE PER PINT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL/SUBSTANCE SCREEN  and  INTERVEN 15-30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99408","description":"ALCOHOL/SUBSTANCE SCREEN  and  INTERVEN 15-30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL/SUBSTANCE SCREEN  and  INTERVEN 15-30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99408","description":"ALCOHOL/SUBSTANCE SCREEN  and  INTERVEN 15-30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL/SUBSTANCE SCREEN  and  INTERVENTION  GT 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99409","description":"ALCOHOL/SUBSTANCE SCREEN  and  INTERVENTION  GT 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL/SUBSTANCE SCREEN  and  INTERVENTION  GT 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99409","description":"ALCOHOL/SUBSTANCE SCREEN  and  INTERVENTION  GT 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GELL DRESS WND PAD  GT  48 SQ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6198","description":"ALGINATE/OTH FIBER GELL DRESS WND PAD  GT  48 SQ EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GELL DRESS WND PAD  GT  48 SQ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6198","description":"ALGINATE/OTH FIBER GELL DRESS WND PAD  GT  48 SQ EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.24,"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":null,"billing_code":"6030F","description":"ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":411.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":410.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":632.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":235.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2783.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2783.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":376.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2431.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2431.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":322.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":345.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1596.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1596.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4605.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4605.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL POTASSIUM HYDROXIDE PREPARATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0112","description":"ALL POTASSIUM HYDROXIDE PREPARATIONS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL POTASSIUM HYDROXIDE PREPARATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0112","description":"ALL POTASSIUM HYDROXIDE PREPARATIONS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL TSTG PERQ  and  IQ W/DRUG/BIOL IMMT RXN W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95018","description":"ALL TSTG PERQ  and  IQ W/DRUG/BIOL IMMT RXN W/I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL TSTG PERQ  and  IQ W/DRUG/BIOL IMMT RXN W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95018","description":"ALL TSTG PERQ  and  IQ W/DRUG/BIOL IMMT RXN W/I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ALL TSTG PERQ  and  IQ W/VENOMS IMMT RXN W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95017","description":"ALL TSTG PERQ  and  IQ W/VENOMS IMMT RXN W/I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.8305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL TSTG PERQ  and  IQ W/VENOMS IMMT RXN W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95017","description":"ALL TSTG PERQ  and  IQ W/VENOMS IMMT RXN W/I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.8305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86008","description":"ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLG TEST PERQ  and  IC DRUG/BIOL IMMED REACT W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95018","description":"ALLG TEST PERQ  and  IC DRUG/BIOL IMMED REACT W/I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.811,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ALLG TSTG PERQ  and  IC VENOMS IMMED REACT W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95017","description":"ALLG TSTG PERQ  and  IC VENOMS IMMED REACT W/I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.8305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLODERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4116","description":"ALLODERM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLODERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4116","description":"ALLODERM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20930","description":"ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20930","description":"ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4323","description":"ALLOPLY PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4323","description":"ALLOPLY PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4141","description":"ALLOSKIN AC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4141","description":"ALLOSKIN AC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4115","description":"ALLOSKIN PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4115","description":"ALLOSKIN PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN RT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4123","description":"ALLOSKIN RT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN RT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4123","description":"ALLOSKIN RT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4150","description":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4150","description":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALS ROUTINE DISPOSABLE SUPPLIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0398","description":"ALS ROUTINE DISPOSABLE SUPPLIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALS ROUTINE DISPOSABLE SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0398","description":"ALS ROUTINE DISPOSABLE SUPPLIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0392","description":"ALS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0392","description":"ALS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"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":null,"billing_code":"4144F","description":"ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":217.9409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":217.9409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":224.7947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":224.7947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.8193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.8193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":256.6191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":256.6191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.2926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.2926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.4352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.4352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":281.5896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":281.5896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":320.1476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":320.1476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":356.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":356.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":385.1792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":385.1792,"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":"2022","billing_code":"41830","description":"ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":217.9409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":217.9409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":224.7947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":224.7947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.8193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.8193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":256.6191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":256.6191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.2926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.2926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.4352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.4352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":281.5896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":281.5896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":320.1476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":320.1476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":356.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":356.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":385.1792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":385.1792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":200.4054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":200.4054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.6499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.6499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":206.4977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":206.4977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":291.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":291.8905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":200.4054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":200.4054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.6499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.6499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":206.4977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":206.4977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":291.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":291.8905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0427","description":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":289.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0427","description":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":289.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE ALS NONEMERGENCY TRANSPORT LEVEL 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0426","description":"AMB SERVICE ALS NONEMERGENCY TRANSPORT LEVEL 1","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":244.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE ALS NONEMERGENCY TRANSPORT LEVEL 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0426","description":"AMB SERVICE ALS NONEMERGENCY TRANSPORT LEVEL 1","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":244.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE CONVNTION AIR SRVC TRANSPORT 1 WAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0431","description":"AMB SERVICE CONVNTION AIR SRVC TRANSPORT 1 WAY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2160.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2160.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SET SUBSTANCE ABS TX/DTOXFICATION SRVC-DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9475","description":"AMB SET SUBSTANCE ABS TX/DTOXFICATION SRVC-DIEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":559.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SET SUBSTANCE ABS TX/DTOXFICATION SRVC-DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9475","description":"AMB SET SUBSTANCE ABS TX/DTOXFICATION SRVC-DIEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":559.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SRVC CONV AIR SRVC TRANS 1 WAY ROTARY WING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0431","description":"AMB SRVC CONV AIR SRVC TRANS 1 WAY ROTARY WING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2160.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2160.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SRVC CONV AIR SRVC TRANS 1 WAY ROTARY WING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0431","description":"AMB SRVC CONV AIR SRVC TRANS 1 WAY ROTARY WING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2160.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2160.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULANCE SERVICE BLS EMERGENCY TRANSPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0429","description":"AMBULANCE SERVICE BLS EMERGENCY TRANSPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":244.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULANCE SERVICE BLS EMERGENCY TRANSPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0429","description":"AMBULANCE SERVICE BLS EMERGENCY TRANSPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":244.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULANCE SERVICE BLS NONEMERGENCY TRANSPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0428","description":"AMBULANCE SERVICE BLS NONEMERGENCY TRANSPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULANCE SERVICE BLS NONEMERGENCY TRANSPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0428","description":"AMBULANCE SERVICE BLS NONEMERGENCY TRANSPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","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":null,"billing_code":"G9313","description":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOPLAST EXCL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4372","description":"AMCHOPLAST EXCL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOPLAST EXCL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4372","description":"AMCHOPLAST EXCL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOPLAST FD PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4360","description":"AMCHOPLAST FD PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOPLAST FD PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4360","description":"AMCHOPLAST FD PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOPLAST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4316","description":"AMCHOPLAST PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOPLAST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4316","description":"AMCHOPLAST PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOTHICK PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4368","description":"AMCHOTHICK PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOTHICK PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4368","description":"AMCHOTHICK PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMERICAN AMNION AC PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4306","description":"AMERICAN AMNION AC PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMERICAN AMNION AC PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4306","description":"AMERICAN AMNION AC PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMERICAN AMNION AC TRI-LAYER PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4305","description":"AMERICAN AMNION AC TRI-LAYER PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMERICAN AMNION AC TRI-LAYER PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4305","description":"AMERICAN AMNION AC TRI-LAYER PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMERICAN AMNION PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4307","description":"AMERICAN AMNION PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMERICAN AMNION PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4307","description":"AMERICAN AMNION PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINOLEVULINIC ACID HCL TOP ADMIN 10 PCT  GEL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7345","description":"AMINOLEVULINIC ACID HCL TOP ADMIN 10 PCT  GEL 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINOLEVULINIC ACID HCL TOP ADMIN 10 PCT  GEL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7345","description":"AMINOLEVULINIC ACID HCL TOP ADMIN 10 PCT  GEL 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":389.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":390.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":389.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":390.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNICORE PRO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4298","description":"AMNICORE PRO PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNICORE PRO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4298","description":"AMNICORE PRO PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNICORE PRO Plus  PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4299","description":"AMNICORE PRO Plus  PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNICORE PRO Plus  PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4299","description":"AMNICORE PRO Plus  PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO BURGEON DUAL LAYER MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4365","description":"AMNIO BURGEON DUAL LAYER MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO BURGEON DUAL LAYER MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4365","description":"AMNIO BURGEON DUAL LAYER MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO BURGEON MEMBRANE  and  HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4363","description":"AMNIO BURGEON MEMBRANE  and  HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO BURGEON MEMBRANE  and  HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4363","description":"AMNIO BURGEON MEMBRANE  and  HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO BURGEON XPLUS MEM and XPLUS HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4364","description":"AMNIO BURGEON XPLUS MEM and XPLUS HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO BURGEON XPLUS MEM and XPLUS HYDROMEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4364","description":"AMNIO BURGEON XPLUS MEM and XPLUS HYDROMEM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO QUAD-CORE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4294","description":"AMNIO QUAD-CORE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO QUAD-CORE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4294","description":"AMNIO QUAD-CORE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO TRI-CORE AMNIOTIC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4295","description":"AMNIO TRI-CORE AMNIOTIC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO TRI-CORE AMNIOTIC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4295","description":"AMNIO TRI-CORE AMNIOTIC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO WOUND PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4181","description":"AMNIO WOUND PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO WOUND PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4181","description":"AMNIO WOUND PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO WRAP2 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4221","description":"AMNIO WRAP2 PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO WRAP2 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4221","description":"AMNIO WRAP2 PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4239","description":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4239","description":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOAMP-MP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4250","description":"AMNIOAMP-MP PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOAMP-MP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4250","description":"AMNIOAMP-MP PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOARMOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4188","description":"AMNIOARMOR PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOARMOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4188","description":"AMNIOARMOR PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBAND 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4168","description":"AMNIOBAND 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBAND 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4168","description":"AMNIOBAND 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4151","description":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4151","description":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBIND OR DERMABIND TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4225","description":"AMNIOBIND OR DERMABIND TL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBIND OR DERMABIND TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4225","description":"AMNIOBIND OR DERMABIND TL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORE SL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4367","description":"AMNIOCORE SL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORE SL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4367","description":"AMNIOCORE SL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORETM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4227","description":"AMNIOCORETM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORETM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4227","description":"AMNIOCORETM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIODEFEND FT MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4379","description":"AMNIODEFEND FT MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIODEFEND FT MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4379","description":"AMNIODEFEND FT MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4137","description":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4137","description":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNION BIO OR AXOBIOMEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4211","description":"AMNION BIO OR AXOBIOMEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNION BIO OR AXOBIOMEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4211","description":"AMNION BIO OR AXOBIOMEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 1 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4334","description":"AMNIOPLAST 1 PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 1 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4334","description":"AMNIOPLAST 1 PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 2 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4335","description":"AMNIOPLAST 2 PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 2 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4335","description":"AMNIOPLAST 2 PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 3 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4369","description":"AMNIOPLAST 3 PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 3 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4369","description":"AMNIOPLAST 3 PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST DOUBLE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4391","description":"AMNIOPLAST DOUBLE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST DOUBLE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4391","description":"AMNIOPLAST DOUBLE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4324","description":"AMNIOTX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4324","description":"AMNIOTX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIPLY FOR TOPICAL USE ONLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4249","description":"AMNIPLY FOR TOPICAL USE ONLY PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIPLY FOR TOPICAL USE ONLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4249","description":"AMNIPLY FOR TOPICAL USE ONLY PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"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":null,"billing_code":"G9314","description":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":412.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":485.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":412.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":485.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":429.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":429.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":589.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":589.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":258.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":303.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":258.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":303.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":253.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.867,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":253.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":893.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":893.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":893.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1027.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1027.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":831.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":831.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":738.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":738.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":758.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":758.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":680.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":680.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANACAULASE-BCDB 8.8 PCT  GEL 1 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7353","description":"ANACAULASE-BCDB 8.8 PCT  GEL 1 GM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANACAULASE-BCDB 8.8 PCT  GEL 1 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7353","description":"ANACAULASE-BCDB 8.8 PCT  GEL 1 GM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAPHYLAXIS D/T VACCINE ON/BEFORE DATE OF ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1311","description":"ANAPHYLAXIS D/T VACCINE ON/BEFORE DATE OF ENC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAPHYLAXIS D/T VACCINE ON/BEFORE DATE OF ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1311","description":"ANAPHYLAXIS D/T VACCINE ON/BEFORE DATE OF ENC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1586.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1586.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1586.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1586.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":331.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":331.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":331.91,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROSTENEDIONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82157","description":"ANDROSTENEDIONE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROSTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82160","description":"ANDROSTERONE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.16,"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":null,"billing_code":"0516F","description":"ANEMIA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 COMP BY EMERGENCY CONDITIONS SPECIFY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99140","description":"ANES COMP BY EMERGENCY CONDITIONS SPECIFY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 COMP BY EMERGENCY CONDITIONS SPECIFY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99140","description":"ANES COMP BY EMERGENCY CONDITIONS SPECIFY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 COMP BY UTILIZATION TOTAL BODY HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99116","description":"ANES COMP BY UTILIZATION TOTAL BODY HYPOTHERMIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 COMP BY UTILIZATION TOTAL BODY HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99116","description":"ANES COMP BY UTILIZATION TOTAL BODY HYPOTHERMIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 COMP UTILIZATION CONTROLLED HYPOTENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99135","description":"ANES COMP UTILIZATION CONTROLLED HYPOTENSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 COMP UTILIZATION CONTROLLED HYPOTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99135","description":"ANES COMP UTILIZATION CONTROLLED HYPOTENSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 COMPLICJ EMERGENCY CONDITIONS SPECIFY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99140","description":"ANES COMPLICJ EMERGENCY CONDITIONS SPECIFY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 COMPLICJ UTILIZATION CONTROLLED HYPOTENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99135","description":"ANES COMPLICJ UTILIZATION CONTROLLED HYPOTENSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 COMPLICJ UTILIZATION TOTAL BODY HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99116","description":"ANES COMPLICJ UTILIZATION TOTAL BODY HYPOTHERMIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTREME AGE PATIENT LT 1 YR and  GT 70","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99100","description":"ANESTHESIA EXTREME AGE PATIENT LT 1 YR and  GT 70","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTREME AGE PATIENT LT 1 YR and  GT 70","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99100","description":"ANESTHESIA EXTREME AGE PATIENT LT 1 YR and  GT 70","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTREME AGE PATIENT UNDER 1 YR OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99100","description":"ANESTHESIA EXTREME AGE PATIENT UNDER 1 YR OR LT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"1012F","description":"ANGINA ABSENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.77,"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":"2022","billing_code":"75733","description":"ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC LENS SINGLE VISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2118","description":"ANISEIKONIC LENS SINGLE VISION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC LENS SINGLE VISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2118","description":"ANISEIKONIC LENS SINGLE VISION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2318","description":"ANISEIKONIC LENS TRIFOCAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2318","description":"ANISEIKONIC LENS TRIFOCAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2218","description":"ANISEIKONIC PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANISEIKONIC PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2218","description":"ANISEIKONIC PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":396.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2162.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2162.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":726.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":360.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":895.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":683.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":423.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":364.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1281.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1281.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1754.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1754.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":95.1926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":95.1926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":95.7537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":95.7537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":96.7156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":96.7156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":95.1926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":95.1926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":95.7537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":95.7537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":96.7156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":96.7156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DX W/HRA  and CHEM AGNTS ENHANCEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46601","description":"ANOSCOPY DX W/HRA  and CHEM AGNTS ENHANCEMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DX W/HRA  and CHEM AGNTS ENHANCEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46601","description":"ANOSCOPY DX W/HRA  and CHEM AGNTS ENHANCEMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DX W/HRA  and CHEM AGNTS ENHANCEMENT W/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46607","description":"ANOSCOPY DX W/HRA  and CHEM AGNTS ENHANCEMENT W/BX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.9174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.9174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DX W/HRA  and CHEM AGNTS ENHANCEMENT W/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46607","description":"ANOSCOPY DX W/HRA  and CHEM AGNTS ENHANCEMENT W/BX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.9174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.9174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANRCT MANO RCT SENSATION and RCT BALO EXPULSION TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91125","description":"ANRCT MANO RCT SENSATION and RCT BALO EXPULSION TEST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ANRCT MANO RCT SENSATION and RCT BALO EXPULSION TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91125","description":"ANRCT MANO RCT SENSATION and RCT BALO EXPULSION TEST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT THORACIC VRT BODY TETHERING  LT 7 VRT SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22836","description":"ANT THORACIC VRT BODY TETHERING  LT 7 VRT SEGMENTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1114.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1114.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1310.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1310.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT THORACIC VRT BODY TETHERING  LT 7 VRT SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22836","description":"ANT THORACIC VRT BODY TETHERING  LT 7 VRT SEGMENTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1114.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1114.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1310.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1310.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT THORACIC VRT BODY TETHERING 8 Plus  VRT SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22837","description":"ANT THORACIC VRT BODY TETHERING 8 Plus  VRT SEGMENTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1227.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1444.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT THORACIC VRT BODY TETHERING 8 Plus  VRT SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22837","description":"ANT THORACIC VRT BODY TETHERING 8 Plus  VRT SEGMENTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1227.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1444.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTB SEV AQT RESPIR SYND CORONAVIRUS 2 TITER(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0224U","description":"ANTB SEV AQT RESPIR SYND CORONAVIRUS 2 TITER(S)","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID-19","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86769","description":"ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID-19","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID-19","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86769","description":"ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID-19","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTENNA FOR USE W/IMPL DIA/PN ST DEV REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8696","description":"ANTENNA FOR USE W/IMPL DIA/PN ST DEV REPL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":305.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":305.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":328.8051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":328.8051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.3897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.3897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":305.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":305.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":328.8051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":328.8051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.3897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.3897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":373.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":439.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":567.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":373.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":439.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":567.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR CHAMBER INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2630","description":"ANTERIOR CHAMBER INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR CHAMBER INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2630","description":"ANTERIOR CHAMBER INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":449.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":449.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":540.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":540.17,"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":null,"billing_code":"4178F","description":"ANTI-D IMMUNE GLOBULIN RCVD 26-30 WKS GESTATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.05,"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":null,"billing_code":"4124F","description":"ANTIBIOTIC NEITHER PRESCRIBED NOR DISPENSED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS I  AND  CLASS II ANTIGENS QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86828","description":"ANTIBODY HLA CLASS I  AND  CLASS II ANTIGENS QUAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS I HIGH DEFINITION PANEL QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86832","description":"ANTIBODY HLA CLASS I HIGH DEFINITION PANEL QUAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS I OR CLASS II ANTIGENS QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86829","description":"ANTIBODY HLA CLASS I OR CLASS II ANTIGENS QUAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS I PHENOTYPE PANEL QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86830","description":"ANTIBODY HLA CLASS I PHENOTYPE PANEL QUALITATIVE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS I SEMIQUANTITATIVE PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86834","description":"ANTIBODY HLA CLASS I SEMIQUANTITATIVE PANEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS II HIGH DEFINITION PANEL QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86833","description":"ANTIBODY HLA CLASS II HIGH DEFINITION PANEL QUAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":244.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS II PHENOTYPE PANEL QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86831","description":"ANTIBODY HLA CLASS II PHENOTYPE PANEL QUAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HLA CLASS II SEMIQUANTITATIVE PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86835","description":"ANTIBODY HLA CLASS II SEMIQUANTITATIVE PANEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86870","description":"ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY JOHN CUNNINGHAM VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86711","description":"ANTIBODY JOHN CUNNINGHAM VIRUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULANT MGMT FOR PT TAKING WARFARIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93793","description":"ANTICOAGULANT MGMT FOR PT TAKING WARFARIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULANT MGMT FOR PT TAKING WARFARIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93793","description":"ANTICOAGULANT MGMT FOR PT TAKING WARFARIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.38,"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":null,"billing_code":"4075F","description":"ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4134F","description":"ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTINEUTROPHIL CYTOPLASMIC ANTB SCREEN EA ANTB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86036","description":"ANTINEUTROPHIL CYTOPLASMIC ANTB SCREEN EA ANTB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86037","description":"ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIREFLECTIVE COATING PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2750","description":"ANTIREFLECTIVE COATING PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIREFLECTIVE COATING PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2750","description":"ANTIREFLECTIVE COATING PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.32,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DYSFUNCTION/DILATION DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81411","description":"AORTIC DYSFUNCTION/DILATION DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1012.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1012.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81410","description":"AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":378.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC HEMIARCH GRAFT W/ISOL  and  CTRL ARCH VESSELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33866","description":"AORTIC HEMIARCH GRAFT W/ISOL  and  CTRL ARCH VESSELS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":719.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":846.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC HEMIARCH GRAFT W/ISOL  and  CTRL ARCH VESSELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33866","description":"AORTIC HEMIARCH GRAFT W/ISOL  and  CTRL ARCH VESSELS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":719.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":719.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":846.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":846.72,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":834.72,"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":"2022","billing_code":"33800","description":"AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":834.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":173.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":173.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1497.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1497.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1497.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1497.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APC GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81203","description":"APC GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APC GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81201","description":"APC GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":585.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APC GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81202","description":"APC GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APIS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2010","description":"APIS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APIS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2010","description":"APIS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2833.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2833.65,"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":"2022","billing_code":"E0619","description":"APNEA MONITOR WITH RECORDING FEATURE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2833.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2833.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2626.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2626.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2626.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2626.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APOLLO FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4385","description":"APOLLO FT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APOLLO FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4385","description":"APOLLO FT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":833.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":833.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":977.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":977.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":977.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":977.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPENDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44950","description":"APPENDECTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPENDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44950","description":"APPENDECTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":386.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":455.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":321.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":321.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":386.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":455.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":386.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":455.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":546.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":546.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.29,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.53,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.95,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.95,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.9,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.9,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.29,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96377","description":"APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96377","description":"APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.703,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":285.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":285.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":302.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":355.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":302.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":355.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.68,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":573.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":573.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1312.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1312.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1312.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1312.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.272,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.724,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.4685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.4685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.4685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.9915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SILVER DIAMINE FLUORIDE 38 PCT  PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0792T","description":"APPLICATION SILVER DIAMINE FLUORIDE 38 PCT  PHYS/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SILVER DIAMINE FLUORIDE 38 PCT  PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0792T","description":"APPLICATION SILVER DIAMINE FLUORIDE 38 PCT  PHYS/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99188","description":"APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99188","description":"APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":260.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":305.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":260.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":305.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.44,"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":null,"billing_code":"4188F","description":"APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86052","description":"AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUAPORIN-4 ANTIBODY ELISA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86051","description":"AQUAPORIN-4 ANTIBODY ELISA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQUAPORIN-4 ANTIBODY FLOW CYTOMETRY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86053","description":"AQUAPORIN-4 ANTIBODY FLOW CYTOMETRY EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":695.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":834.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":834.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AR GENE ANALYSIS CHARACTERIZATION OF ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81204","description":"AR GENE ANALYSIS CHARACTERIZATION OF ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AR GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81173","description":"AR GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AR GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81174","description":"AR GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARCHITECT EXTRACELLULAR MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4147","description":"ARCHITECT EXTRACELLULAR MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARCHITECT EXTRACELLULAR MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4147","description":"ARCHITECT EXTRACELLULAR MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARDEOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4333","description":"ARDEOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARDEOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4333","description":"ARDEOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":307.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":307.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93050","description":"ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93050","description":"ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT AC 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4189","description":"ARTACENT AC 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT AC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4189","description":"ARTACENT AC 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4190","description":"ARTACENT AC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4190","description":"ARTACENT AC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT C PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4336","description":"ARTACENT C PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT CORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4216","description":"ARTACENT CORD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT CORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4216","description":"ARTACENT CORD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT TRIDENT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4337","description":"ARTACENT TRIDENT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT VELOS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4338","description":"ARTACENT VELOS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT VELOS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4338","description":"ARTACENT VELOS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT VERICLEN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4339","description":"ARTACENT VERICLEN PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT VERICLEN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4339","description":"ARTACENT VERICLEN PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT WOUND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4169","description":"ARTACENT WOUND PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT WOUND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4169","description":"ARTACENT WOUND PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTECENT C PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4336","description":"ARTECENT C PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTECENT C PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4336","description":"ARTECENT C PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTECENT TRIDENT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4337","description":"ARTECENT TRIDENT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTECENT TRIDENT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4337","description":"ARTECENT TRIDENT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":457.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":457.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33987","description":"ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.7915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33987","description":"ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.7915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.7915,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":253.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":949.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1193.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1193.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1193.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1193.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1198.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1198.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1198.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1198.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1273.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1273.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1273.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1273.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":278.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":278.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1273.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1273.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":289.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":289.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":961.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":961.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD SI JT PLMT I-ARTIC DEV WO CORTCL PIERCING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27278","description":"ARTHRD SI JT PLMT I-ARTIC DEV WO CORTCL PIERCING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":302.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":355.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8720.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8720.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD SI JT PLMT I-ARTIC DEV WO CORTCL PIERCING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27278","description":"ARTHRD SI JT PLMT I-ARTIC DEV WO CORTCL PIERCING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":302.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":355.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8720.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8720.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD SI JT PRQ W/PLMT IARTIC IMPLT WO TFXJ DEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27278","description":"ARTHRD SI JT PRQ W/PLMT IARTIC IMPLT WO TFXJ DEV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":302.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":355.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8720.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8720.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.297,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20606","description":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/US","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.7565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20606","description":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/US","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.7565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.7565,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20611","description":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/US","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20611","description":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/US","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.834,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCNT ASPIR and /INJ SMALL JT/BURSAW/US REC RPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20604","description":"ARTHROCNT ASPIR and /INJ SMALL JT/BURSAW/US REC RPRT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCNT ASPIR and /INJ SMALL JT/BURSAW/US REC RPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20604","description":"ARTHROCNT ASPIR and /INJ SMALL JT/BURSAW/US REC RPRT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.736,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":289.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1198.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1198.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":253.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":253.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":949.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":949.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":251.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":295.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":402.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":251.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":295.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":402.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":315.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":424.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":315.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":424.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":320.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1172.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1172.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":944.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":944.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1172.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1172.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1172.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1172.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":944.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":944.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":944.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":944.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":961.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":320.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":320.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":699.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":699.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":699.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":699.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":605.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":605.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1045.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1045.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1045.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1045.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":961.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":961.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":730.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":730.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":465.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":758.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":491.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":453.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":532.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":453.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":532.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":530.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":530.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1154.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1154.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1154.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1154.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25448","description":"ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":668.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25448","description":"ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":668.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1228.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1228.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1228.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1228.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":821.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":821.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":940.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":940.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":940.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":940.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":425.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":500.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":425.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":500.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":425.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":500.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":608.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":608.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":608.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6141.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6141.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL INSEMINATION INTRA-CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58321","description":"ARTIFICIAL INSEMINATION INTRA-CERVICAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL INSEMINATION INTRA-CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58321","description":"ARTIFICIAL INSEMINATION INTRA-CERVICAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL INSEMINATION INTRA-UTERINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58322","description":"ARTIFICIAL INSEMINATION INTRA-UTERINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL INSEMINATION INTRA-UTERINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58322","description":"ARTIFICIAL INSEMINATION INTRA-UTERINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":421.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":560.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":560.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2050.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2050.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2050.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2050.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33858","description":"AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2799.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2799.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33858","description":"AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2799.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2799.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33859","description":"AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2008.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2008.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33859","description":"AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2008.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2008.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2105.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2105.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2105.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2105.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASCENDION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4390","description":"ASCENDION PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASCENDION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4390","description":"ASCENDION PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASCVD RISK MGMT SRV; CLIN STAFF TIME; PER CAL MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0538","description":"ASCVD RISK MGMT SRV; CLIN STAFF TIME; PER CAL MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ASCVD RISK MGMT SRV; CLIN STAFF TIME; PER CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0538","description":"ASCVD RISK MGMT SRV; CLIN STAFF TIME; PER CAL MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ASHKENAZI JEWISH ASSOC DSRDRS GEN SEQ ANAL 9 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81412","description":"ASHKENAZI JEWISH ASSOC DSRDRS GEN SEQ ANAL 9 GEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1836.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1836.42,"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":null,"billing_code":"G8958","description":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPA GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81200","description":"ASPA GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.32,"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":"G8598","description":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BIOVLBL TESTOSTERONE DIRECT MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84410","description":"ASSAY BIOVLBL TESTOSTERONE DIRECT MEASUREMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY NEUROFILAMENT LIGHT CHAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83884","description":"ASSAY NEUROFILAMENT LIGHT CHAIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.17,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALCOHOL (ETHANOL) BREATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82075","description":"ASSAY OF ALCOHOL (ETHANOL) BREATH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALCOHOL (ETHANOL) SPEC XCP UR and BREATH IA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82077","description":"ASSAY OF ALCOHOL (ETHANOL) SPEC XCP UR and BREATH IA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ANTI-MULLERIAN HORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82166","description":"ASSAY OF ANTI-MULLERIAN HORMONE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82681","description":"ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FREE THYROXINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84439","description":"ASSAY OF FREE THYROXINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INTERLEUKIN-6 (IL-6)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83529","description":"ASSAY OF INTERLEUKIN-6 (IL-6)","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83655","description":"ASSAY OF LEAD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MAGNESIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83735","description":"ASSAY OF MAGNESIUM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROID STIMULATING HORMONE TSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84443","description":"ASSAY OF THYROID STIMULATING HORMONE TSH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE REQUIRING ELUTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84437","description":"ASSAY OF THYROXINE REQUIRING ELUTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84436","description":"ASSAY OF THYROXINE TOTAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY THIOPURINE S-METHYLTRANSFERASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84433","description":"ASSAY THIOPURINE S-METHYLTRANSFERASE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT FOR HEARING AID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5010","description":"ASSESSMENT FOR HEARING AID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT FOR HEARING AID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5010","description":"ASSESSMENT FOR HEARING AID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSMT  and  CARE PLANNING PT W/COGNITIVE IMPAIRMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99483","description":"ASSMT  and  CARE PLANNING PT W/COGNITIVE IMPAIRMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSMT  and  CARE PLANNING PT W/COGNITIVE IMPAIRMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99483","description":"ASSMT  and  CARE PLANNING PT W/COGNITIVE IMPAIRMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASXL1 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81175","description":"ASXL1 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":507.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASXL1 GENE ANALYSIS TARGETED SEQ ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81176","description":"ASXL1 GENE ANALYSIS TARGETED SEQ ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.43,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81177","description":"ATN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":388.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":388.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":578.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":578.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":439.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":439.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":898.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":898.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1235.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1235.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1235.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1235.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATROPINE INHAL COMP PROD UNIT DOSE FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7636","description":"ATROPINE INHAL COMP PROD UNIT DOSE FORM PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATROPINE INHAL COMP PROD UNIT DOSE FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7636","description":"ATROPINE INHAL COMP PROD UNIT DOSE FORM PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATROPINE INHAL SOL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7635","description":"ATROPINE INHAL SOL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATROPINE INHAL SOL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7635","description":"ATROPINE INHAL SOL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81178","description":"ATXN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN10 GENE ANALYSIS EVAL DETC ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81183","description":"ATXN10 GENE ANALYSIS EVAL DETC ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81179","description":"ATXN2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN3 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81180","description":"ATXN3 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN7 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81181","description":"ATXN7 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN8OS GENE ANALYSIS EVAL DETECT ABNOR ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81182","description":"ATXN8OS GENE ANALYSIS EVAL DETECT ABNOR ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2045.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2045.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUD OSSEOINTEG DEVC TRANSDUCER/ACTR REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8694","description":"AUD OSSEOINTEG DEVC TRANSDUCER/ACTR REPL ONLY EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":890.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":890.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1429.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1429.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDIOMETRY FOR HEARING AID EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0618","description":"AUDIOMETRY FOR HEARING AID EVALUATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDIOMETRY FOR HEARING AID EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0618","description":"AUDIOMETRY FOR HEARING AID EVALUATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8692","description":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3500.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3500.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4484.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4484.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2360.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2360.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2484.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2484.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":993.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":993.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2320.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2320.0,"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":"2022","billing_code":"K0606","description":"AUTO EXT DEFIB W/INTGR ECG ANALY GARMENT TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2320.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2320.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20936","description":"AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20936","description":"AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOL BLD/COMPONENT COLLJ STORAGE SALVAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86891","description":"AUTOL BLD/COMPONENT COLLJ STORAGE SALVAGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":999.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":999.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64911.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64911.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64911.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64911.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS PLATELET-RICH PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0460","description":"AUTOLOGOUS PLATELET-RICH PLASMA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS PRP/OTH BLD-DERIV PROD ND CW/U PER TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0460","description":"AUTOLOGOUS PRP/OTH BLD-DERIV PROD ND CW/U PER TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS PRP/OTH BLD-DERIV PROD ND CW/U PER TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0460","description":"AUTOLOGOUS PRP/OTH BLD-DERIV PROD ND CW/U PER TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOMATIC BLOOD PRESSURE MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4670","description":"AUTOMATIC BLOOD PRESSURE MONITOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOMATIC BLOOD PRESSURE MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4670","description":"AUTOMATIC BLOOD PRESSURE MONITOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3853.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3853.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.617,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL DUALGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4332","description":"AXOLOTL DUALGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL DUALGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4332","description":"AXOLOTL DUALGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL DUALGRAFT ULTRA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4384","description":"AXOLOTL DUALGRAFT ULTRA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL DUALGRAFT ULTRA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4384","description":"AXOLOTL DUALGRAFT ULTRA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL GRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4331","description":"AXOLOTL GRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL GRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4331","description":"AXOLOTL GRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL GRAFT ULTRA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4383","description":"AXOLOTL GRAFT ULTRA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL GRAFT ULTRA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4383","description":"AXOLOTL GRAFT ULTRA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.24,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":219.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Alcohol or peroxide per pint","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4244","description":"Alcohol or peroxide per pint","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.56,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Appendectomy","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44950","description":"Appendectomy","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Assessment for hearing aid","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5010","description":"Assessment for hearing aid","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90585","description":"BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90585","description":"BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90586","description":"BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90586","description":"BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK CONTOURED PED WC INCL FIX ATTCH HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2293","description":"BACK CONTOURED PED WC INCL FIX ATTCH HARDWARE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":500.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2291","description":"BACK PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":350.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALANCE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2700","description":"BALANCE LENS PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALANCE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2700","description":"BALANCE LENS PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61630","description":"BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":678.1118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":678.1118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":729.5959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":729.5959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":746.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":746.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":796.7117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":796.7117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61630","description":"BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":678.1118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":678.1118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":729.5959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":729.5959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":746.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":746.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":796.7117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":796.7117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT INTRACRANIAL VASOSPASM PRQ INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61640","description":"BALLOON DILAT INTRACRANIAL VASOSPASM PRQ INITIAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.1724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.1724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":277.1607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":277.1607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":280.3672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":280.3672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":280.8882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":280.8882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT INTRACRANIAL VASOSPASM PRQ INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61640","description":"BALLOON DILAT INTRACRANIAL VASOSPASM PRQ INITIAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.1724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.1724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":277.1607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":277.1607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":280.3672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":280.3672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":280.8882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":280.8882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1013.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1013.11,"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":null,"billing_code":"3200F","description":"BARIUM SWALLOW TEST NOT ORDERED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARRERA SL OR BARRERA DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4281","description":"BARRERA SL OR BARRERA DL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARRERA SL OR BARRERA DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4281","description":"BARRERA SL OR BARRERA DL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MRS  GT  2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1236","description":"BASELINE MRS  GT  2","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MRS  GT  2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1236","description":"BASELINE MRS  GT  2","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.3,"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":"2022","billing_code":"80047","description":"BASIC METABOLIC PANEL CALCIUM IONIZED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC METABOLIC PANEL CALCIUM TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80048","description":"BASIC METABOLIC PANEL CALCIUM TOTAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATH/SHOWER CHAIR W/WO WHEELS ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0240","description":"BATH/SHOWER CHAIR W/WO WHEELS ANY SIZE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2420.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2420.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":500.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":755.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":755.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATHTUB WALL RAIL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0241","description":"BATHTUB WALL RAIL EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3937.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3937.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3937.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3937.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":441.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":441.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":646.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":264.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1225.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1225.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1225.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1225.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY FOR USE IN HEARING DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5266","description":"BATTERY FOR USE IN HEARING DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY FOR USE IN HEARING DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5266","description":"BATTERY FOR USE IN HEARING DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":805.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":805.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1413.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1413.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1413.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4612","description":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4612","description":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4613","description":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4613","description":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4611","description":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4611","description":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9030","description":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9030","description":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCKDHB GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81205","description":"BCKDHB GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCR/ABL1 MAJOR BREAKPNT QUALITATIVE/QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81206","description":"BCR/ABL1 MAJOR BREAKPNT QUALITATIVE/QUANTITATIVE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81207","description":"BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCR/ABL1 OTHER BREAKPNT QUALITATIVE/QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81208","description":"BCR/ABL1 OTHER BREAKPNT QUALITATIVE/QUANTITATIVE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1741.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1741.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7622","description":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7622","description":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAV ASSMT W/SCORE  and  DOCD/STAND INSTRUMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96127","description":"BEHAV ASSMT W/SCORE  and  DOCD/STAND INSTRUMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAV ASSMT W/SCORE  and  DOCD/STAND INSTRUMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96127","description":"BEHAV ASSMT W/SCORE  and  DOCD/STAND INSTRUMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL  AND  QUALIT ANALYSIS VOICE AND RESONANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92524","description":"BEHAVIORAL  AND  QUALIT ANALYSIS VOICE AND RESONANCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL  AND  QUALIT ANALYSIS VOICE AND RESONANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92524","description":"BEHAVIORAL  AND  QUALIT ANALYSIS VOICE AND RESONANCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELLACELL HD OR SUREDERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4220","description":"BELLACELL HD OR SUREDERM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELLACELL HD OR SUREDERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4220","description":"BELLACELL HD OR SUREDERM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2290.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2290.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8567.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8567.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8106.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8106.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2185.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2185.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2225.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2225.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2464.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2464.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4467","description":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4467","description":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2879.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2879.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2052.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2052.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3314.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3314.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEREMAGENE GEPERPAVEC-SVDT FOR TOPICAL ADM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3401","description":"BEREMAGENE GEPERPAVEC-SVDT FOR TOPICAL ADM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1004.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1014.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1014.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEREMAGENE GEPERPAVEC-SVDT FOR TOPICAL ADM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3401","description":"BEREMAGENE GEPERPAVEC-SVDT FOR TOPICAL ADM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1004.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1014.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1014.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.09,"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":null,"billing_code":"4115F","description":"BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-AMYLOID 1-40 (ABETA 40)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82233","description":"BETA-AMYLOID 1-40 (ABETA 40)","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-AMYLOID 1-42 (ABETA 42)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82234","description":"BETA-AMYLOID 1-42 (ABETA 42)","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.69,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR IODINE SWABS/WIPES PER BOX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4247","description":"BETADINE OR IODINE SWABS/WIPES PER BOX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR IODINE SWABS/WIPES PER BOX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4247","description":"BETADINE OR IODINE SWABS/WIPES PER BOX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR PHISOHEX SOLUTION PER PINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4246","description":"BETADINE OR PHISOHEX SOLUTION PER PINT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR PHISOHEX SOLUTION PER PINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4246","description":"BETADINE OR PHISOHEX SOLUTION PER PINT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETAMETHASONE INHAL CP PROD DME UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7624","description":"BETAMETHASONE INHAL CP PROD DME UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETAMETHASONE INHAL CP PROD DME UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7624","description":"BETAMETHASONE INHAL CP PROD DME UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL ADD OVER 3.25D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2220","description":"BIFOCAL ADD OVER 3.25D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL ADD OVER 3.25D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2220","description":"BIFOCAL ADD OVER 3.25D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL SEG WIDTH OVER 28MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2219","description":"BIFOCAL SEG WIDTH OVER 28MM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL SEG WIDTH OVER 28MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2219","description":"BIFOCAL SEG WIDTH OVER 28MM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL SPHERE OVER  Plus /-12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2214","description":"BIFOCAL SPHERE OVER  Plus /-12.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL SPHERE OVER  Plus /-12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2214","description":"BIFOCAL SPHERE OVER  Plus /-12.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2207","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2207","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2208","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2208","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2209","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2209","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL-LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2210","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL-LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2210","description":"BIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL-LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2211","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2211","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2212","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2212","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2213","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2213","description":"BIFOCL  Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 0.12-2.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2203","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 0.12-2.00D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 0.12-2.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2203","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 0.12-2.00D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 2.12-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2204","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 2.12-4.00D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 2.12-4.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2204","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 2.12-4.00D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2205","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER 4.25-6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2205","description":"BIFOCL PLANO  Plus /- 4.00D SPHER 4.25-6.00D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER OVR 6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2206","description":"BIFOCL PLANO  Plus /- 4.00D SPHER OVR 6.00D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCL PLANO  Plus /- 4.00D SPHER OVR 6.00D CYL-EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2206","description":"BIFOCL PLANO  Plus /- 4.00D SPHER OVR 6.00D CYL-EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIL HKAFO DEVC PWR INCL PELV COMP UP KNEE JOINTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1007","description":"BIL HKAFO DEVC PWR INCL PELV COMP UP KNEE JOINTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74573.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74573.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5140","description":"BINAURAL BEHIND THE EAR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":509.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5140","description":"BINAURAL BEHIND THE EAR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":509.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5120","description":"BINAURAL BODY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5120","description":"BINAURAL BODY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5150","description":"BINAURAL GLASSES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":509.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5150","description":"BINAURAL GLASSES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":509.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL IN THE EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5130","description":"BINAURAL IN THE EAR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":509.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL IN THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5130","description":"BINAURAL IN THE EAR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":509.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4161","description":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4161","description":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOBRANE GLOVE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2044","description":"BIOBRANE GLOVE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOBRANE GLOVE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2044","description":"BIOBRANE GLOVE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2043","description":"BIOBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2043","description":"BIOBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB MEMBRANE WRAP FLOW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4418","description":"BIOLAB MEMBRANE WRAP FLOW PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB MEMBRANE WRAP FLOW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4418","description":"BIOLAB MEMBRANE WRAP FLOW PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB MEMBRANE WRAP LITE FLOW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4419","description":"BIOLAB MEMBRANE WRAP LITE FLOW PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB MEMBRANE WRAP LITE FLOW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4419","description":"BIOLAB MEMBRANE WRAP LITE FLOW PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB MEMBRANE WRAP SOLO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4421","description":"BIOLAB MEMBRANE WRAP SOLO PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB MEMBRANE WRAP SOLO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4421","description":"BIOLAB MEMBRANE WRAP SOLO PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB TRI-MEMBRANE WRAP FLOW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4423","description":"BIOLAB TRI-MEMBRANE WRAP FLOW PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOLAB TRI-MEMBRANE WRAP FLOW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4423","description":"BIOLAB TRI-MEMBRANE WRAP FLOW PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":291.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":343.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":291.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":343.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":183.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":183.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTRAOCULAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67346","description":"BIOPSY EXTRAOCULAR MUSCLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTRAOCULAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67346","description":"BIOPSY EXTRAOCULAR MUSCLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.874,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PROSTATE TRANSRECTAL ULTRASOUND-GUIDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55707","description":"BIOPSY PROSTATE TRANSRECTAL ULTRASOUND-GUIDED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PROSTATE TRANSRECTAL ULTRASOUND-GUIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55707","description":"BIOPSY PROSTATE TRANSRECTAL ULTRASOUND-GUIDED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":256.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":256.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":231.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":231.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":323.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":323.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":284.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":284.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.6775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.6775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.6775,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOVANCE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4154","description":"BIOVANCE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOVANCE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4154","description":"BIOVANCE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOVANCE TRI-LAYER OR BIOVANCE 3L PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4283","description":"BIOVANCE TRI-LAYER OR BIOVANCE 3L PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOVANCE TRI-LAYER OR BIOVANCE 3L PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4283","description":"BIOVANCE TRI-LAYER OR BIOVANCE 3L PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"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":null,"billing_code":"4100F","description":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7629","description":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7629","description":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.17,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":611.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.7685,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":258.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":258.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":260.5471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":260.5471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.1334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.1334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":316.2197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":316.2197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.5104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.5104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":364.0364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":364.0364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":442.4951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":442.4951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":258.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":258.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":260.5471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":260.5471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.1334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.1334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":316.2197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":316.2197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.5104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.5104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":364.0364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":364.0364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":442.4951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":442.4951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":240.4865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":240.4865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":242.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":242.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.5788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.5788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":269.3649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":269.3649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":278.8842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":278.8842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":285.0767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":285.0767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":335.7792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":335.7792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":362.0524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":362.0524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.4134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.4134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.5536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.5536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":380.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":380.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":501.2139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":501.2139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":240.4865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":240.4865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":242.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":242.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.5788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.5788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":269.3649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":269.3649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":278.8842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":278.8842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":285.0767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":285.0767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":335.7792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":335.7792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":362.0524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":362.0524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.4134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.4134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.5536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.5536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":380.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":380.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":501.2139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":501.2139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":240.4865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":240.4865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":242.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":242.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.5788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.5788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":269.3649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":269.3649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":278.8842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":278.8842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":285.0767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":285.0767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":335.7792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":335.7792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":362.0524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":362.0524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.4134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.4134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.5536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.5536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":380.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":380.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":501.2139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":501.2139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":165.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":165.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":167.0179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":167.0179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":169.9037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":169.9037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.8744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.8744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.2413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.2413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":235.3761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":235.3761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":258.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":258.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":260.5471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":260.5471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":285.5777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":285.5777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":364.0364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":364.0364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":165.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":165.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":167.0179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":167.0179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":169.9037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":169.9037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.8744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.8744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.2413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.2413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":235.3761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":235.3761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":258.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":258.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":260.5471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":260.5471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":285.5777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":285.5777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":364.0364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":364.0364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":356.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":356.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLM GENE ANALYSIS 2281DEL6INS7 VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81209","description":"BLM GENE ANALYSIS 2281DEL6INS7 VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT COMPLETE AUTO AND AUTO DIFRNTL WBC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85025","description":"BLOOD COUNT COMPLETE AUTO AND AUTO DIFRNTL WBC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT COMPLETE AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85027","description":"BLOOD COUNT COMPLETE AUTOMATED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT HEMATOCRIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85014","description":"BLOOD COUNT HEMATOCRIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT HEMOGLOBIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85018","description":"BLOOD COUNT HEMOGLOBIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT PLATELET AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85049","description":"BLOOD COUNT PLATELET AUTOMATED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85007","description":"BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82270","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82272","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82271","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE CUFF ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4663","description":"BLOOD PRESSURE CUFF ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE CUFF ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4663","description":"BLOOD PRESSURE CUFF ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"M1281","description":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"M1281","description":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.51,"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":"2022","billing_code":"85060","description":"BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.81,"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":null,"billing_code":"G8417","description":"BMI DOC ABOVE NORMAL PARAM  and  F/U PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BELOW NORMAL PARAMETERS  and  F/U PLAN DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1287","description":"BMI DOC BELOW NORMAL PARAMETERS  and  F/U PLAN DOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BELOW NORMAL PARAMETERS  and  F/U PLAN DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1287","description":"BMI DOC BELOW NORMAL PARAMETERS  and  F/U PLAN DOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 OS NML PARAM F/U PL NOT CMPL DOC MED RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1286","description":"BMI DOC OS NML PARAM F/U PL NOT CMPL DOC MED RSN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 OS NML PARAM F/U PL NOT CMPL DOC MED RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1286","description":"BMI DOC OS NML PARAM F/U PL NOT CMPL DOC MED RSN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 OS NRML PARAM NO F/U PLAN DOC NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1276","description":"BMI DOC OS NRML PARAM NO F/U PLAN DOC NO RSN GVN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 OS NRML PARAM NO F/U PLAN DOC NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1276","description":"BMI DOC OS NRML PARAM NO F/U PLAN DOC NO RSN GVN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WI NML PARAMETERS  and  NO F/U PLAN IS REQD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1296","description":"BMI DOC WI NML PARAMETERS  and  NO F/U PLAN IS REQD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WI NML PARAMETERS  and  NO F/U PLAN IS REQD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1296","description":"BMI DOC WI NML PARAMETERS  and  NO F/U PLAN IS REQD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IS DOC ABV NML PARAMETERS AND F/U PLAN DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1293","description":"BMI IS DOC ABV NML PARAMETERS AND F/U PLAN DOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IS DOC ABV NML PARAMETERS AND F/U PLAN DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1293","description":"BMI IS DOC ABV NML PARAMETERS AND F/U PLAN DOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DOC D/T MED RSN/PT REFUS HGT/WGT MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2181","description":"BMI NOT DOC D/T MED RSN/PT REFUS HGT/WGT MSR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DOC D/T MED RSN/PT REFUS HGT/WGT MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2181","description":"BMI NOT DOC D/T MED RSN/PT REFUS HGT/WGT MSR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DOC D/T MED RSN/PT REFUSAL OF HT/WT MSMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1297","description":"BMI NOT DOC D/T MED RSN/PT REFUSAL OF HT/WT MSMT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DOC D/T MED RSN/PT REFUSAL OF HT/WT MSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1297","description":"BMI NOT DOC D/T MED RSN/PT REFUSAL OF HT/WT MSMT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"M1314","description":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"M1314","description":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.09,"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":"2022","billing_code":"78315","description":"BONE  and /JOINT IMAGING 3 PHASE STUDY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":276.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":276.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1913.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1913.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1913.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1913.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1844.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1844.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1844.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1844.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2021.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2021.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2021.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2021.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1995.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1995.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1995.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1995.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20939","description":"BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20939","description":"BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":310.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.99,"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":null,"billing_code":"3270F","description":"BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.51,"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":"2022","billing_code":"J0585","description":"BOTULINUM TOXIN TYPE A PER UNIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.51,"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":null,"billing_code":"G9273","description":"BP HAS SYSTOLIC VALUE  LT  140 DIASTOLIC VALUE  LT  90","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPCI ADV MOD HOME VISIT PT ASMT PERF CLIN STAFF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9987","description":"BPCI ADV MOD HOME VISIT PT ASMT PERF CLIN STAFF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPCI ADV MOD HOME VISIT PT ASMT PERF CLIN STAFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9987","description":"BPCI ADV MOD HOME VISIT PT ASMT PERF CLIN STAFF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPCI HOME VISIT PT ASSESSMENT PRFRM QUAL HC PROF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9187","description":"BPCI HOME VISIT PT ASSESSMENT PRFRM QUAL HC PROF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPCI HOME VISIT PT ASSESSMENT PRFRM QUAL HC PROF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9187","description":"BPCI HOME VISIT PT ASSESSMENT PRFRM QUAL HC PROF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-CONTRALATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35602","description":"BPG OTH/THN VEIN CAROTID-CONTRALATERAL CAROTID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":913.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-CONTRALATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35602","description":"BPG OTH/THN VEIN CAROTID-CONTRALATERAL CAROTID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":913.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":913.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77318","description":"BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77318","description":"BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77317","description":"BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77317","description":"BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77316","description":"BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77316","description":"BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRADYKININ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82286","description":"BRADYKININ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAF GENE ANALYSIS V600 VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81210","description":"BRAF GENE ANALYSIS V600 VARIANT(S)","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":464.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":515.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":464.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":515.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA 2 GEN ALYS 185DELAG 5385INSC 6174DELT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81212","description":"BRCA1 BRCA 2 GEN ALYS 185DELAG 5385INSC 6174DELT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":330.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA2 GENE ALYS FULL SEQ FULL DUP/DEL ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81162","description":"BRCA1 BRCA2 GENE ALYS FULL SEQ FULL DUP/DEL ALYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1368.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1368.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81164","description":"BRCA1 BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":438.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81163","description":"BRCA1 BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 GENE ANALYSIS FULL DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81166","description":"BRCA1 GENE ANALYSIS FULL DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81165","description":"BRCA1 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81215","description":"BRCA1 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":281.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81167","description":"BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81216","description":"BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81217","description":"BRCA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":281.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":371.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":371.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":232.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":302.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP ELECTRIC  ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0603","description":"BREAST PUMP ELECTRIC  ANY TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0604","description":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1433.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1433.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1433.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1433.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1360.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1360.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1360.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1360.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1578.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1578.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1298.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1298.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1298.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1298.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1433.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1433.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1298.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1298.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1360.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1360.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1578.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1578.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1578.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1578.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1103.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1103.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":765.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":765.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST SHIELD and SPLASH PROTECTR W/BREAST PUMP REPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4284","description":"BREAST SHIELD and SPLASH PROTECTR W/BREAST PUMP REPL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST SHIELD and SPLASH PROTECTR W/BREAST PUMP REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4284","description":"BREAST SHIELD and SPLASH PROTECTR W/BREAST PUMP REPL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREXUCABTAGENE AUTOLCL AU ANTI-CD19 CAR P V T C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2053","description":"BREXUCABTAGENE AUTOLCL AU ANTI-CD19 CAR P V T C","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":489450.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":489450.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREXUCABTAGENE AUTOLCL AU ANTI-CD19 CAR P V T C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2053","description":"BREXUCABTAGENE AUTOLCL AU ANTI-CD19 CAR P V T C","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":489450.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":489450.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98016","description":"BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98016","description":"BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31652","description":"BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":722.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31652","description":"BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":722.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC EBUS GUIDED SAMPL 3 OR GT  NODE STATION/STRUX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31653","description":"BRNCHSC EBUS GUIDED SAMPL 3 OR GT  NODE STATION/STRUX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":768.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC EBUS GUIDED SAMPL 3 OR GT  NODE STATION/STRUX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31653","description":"BRNCHSC EBUS GUIDED SAMPL 3 OR GT  NODE STATION/STRUX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":768.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":768.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE ADDL LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31651","description":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE ADDL LOBE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE ADDL LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31651","description":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE ADDL LOBE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE INIT LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31647","description":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE INIT LOBE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE INIT LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31647","description":"BRNCHSC OCCLUSION AND INSERT BRONCH VALVE INIT LOBE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31649","description":"BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31649","description":"BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31648","description":"BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31648","description":"BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":179.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":179.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31654","description":"BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31654","description":"BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1090.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1090.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1090.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1090.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1036.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1036.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1036.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1036.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPIC THERMOPLASTY 2 OR GT  LOBES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31661","description":"BRONCHOSCOPIC THERMOPLASTY 2 OR GT  LOBES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPIC THERMOPLASTY 2 OR GT  LOBES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31661","description":"BRONCHOSCOPIC THERMOPLASTY 2 OR GT  LOBES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPIC THERMOPLASTY ONE LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31660","description":"BRONCHOSCOPIC THERMOPLASTY ONE LOBE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPIC THERMOPLASTY ONE LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31660","description":"BRONCHOSCOPIC THERMOPLASTY ONE LOBE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":877.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":877.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":272.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":272.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":594.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":594.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":424.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":424.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":877.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1103.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1530.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1530.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1530.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1530.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BTK GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81233","description":"BTK GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7627","description":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7627","description":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7633","description":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7633","description":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0571","description":"BUPRENORPHINE ORAL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0571","description":"BUPRENORPHINE ORAL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NALOXONE ORAL  GT 10 MG BUPRENORPHINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0575","description":"BUPRENORPHINE/NALOXONE ORAL  GT 10 MG BUPRENORPHINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NALOXONE ORAL  GT 10 MG BUPRENORPHINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0575","description":"BUPRENORPHINE/NALOXONE ORAL  GT 10 MG BUPRENORPHINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NALOXONE ORAL  LT or equal to TO 3 MG BPN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0572","description":"BUPRENORPHINE/NALOXONE ORAL  LT or equal to TO 3 MG BPN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NALOXONE ORAL  LT or equal to TO 3 MG BPN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0572","description":"BUPRENORPHINE/NALOXONE ORAL  LT or equal to TO 3 MG BPN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NLX ORAL  GT 6 MG BUT  LT or equal to TO 10","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0574","description":"BUPRENORPHINE/NLX ORAL  GT 6 MG BUT  LT or equal to TO 10","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NLX ORAL  GT 6 MG BUT  LT or equal to TO 10","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0574","description":"BUPRENORPHINE/NLX ORAL  GT 6 MG BUT  LT or equal to TO 10","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHNE/NALOXONE ORAL  GT 3 MG BUT  LT or equal to 6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0573","description":"BUPRENORPHNE/NALOXONE ORAL  GT 3 MG BUT  LT or equal to 6","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHNE/NALOXONE ORAL  GT 3 MG BUT  LT or equal to 6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0573","description":"BUPRENORPHNE/NALOXONE ORAL  GT 3 MG BUT  LT or equal to 6","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":274.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":322.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":274.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":322.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.0085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.0085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.0085,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.9115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":730.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.9115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.9115,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":730.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.7425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":488.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.7425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.7425,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":488.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":484.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":484.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":576.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":576.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":390.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":390.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.154,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.686,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE STRTCTC SATURATION SAMPLING IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55706","description":"BX PROSTATE STRTCTC SATURATION SAMPLING IMG GID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TRANSRECTAL US GID W/MRI FUS GDN 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55708","description":"BX PROSTATE TRANSRECTAL US GID W/MRI FUS GDN 1ST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":315.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE TRANSRECTAL US GID W/MRI FUS GDN 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55708","description":"BX PROSTATE TRANSRECTAL US GID W/MRI FUS GDN 1ST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":315.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PRST8 NDL STRTCTC SATURATION SAMPLING IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55706","description":"BX PRST8 NDL STRTCTC SATURATION SAMPLING IMG GID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PRST8 NDL STRTCTC SATURATION SAMPLING IMG GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55706","description":"BX PRST8 NDL STRTCTC SATURATION SAMPLING IMG GID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":228.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":228.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":175.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":175.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.7795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"C-REACTIVE PROTEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86140","description":"C-REACTIVE PROTEIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"C-REACTIVE PROTEIN HIGH SENSITIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86141","description":"C-REACTIVE PROTEIN HIGH SENSITIVITY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2106.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2106.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2106.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2106.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1489.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1489.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1489.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1489.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1469.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1469.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1469.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1469.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1747.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1747.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1747.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1747.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CACNA1A GENE ANALYSIS EVAL DETECT ABNOR ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81184","description":"CACNA1A GENE ANALYSIS EVAL DETECT ABNOR ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CACNA1A GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81185","description":"CACNA1A GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":634.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CACNA1A GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81186","description":"CACNA1A GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CADMIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82300","description":"CADMIUM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":246.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CALCITONIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82308","description":"CALCITONIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM ACETATE ORAL 23 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0615","description":"CALCIUM ACETATE ORAL 23 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM ACETATE ORAL 23 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0615","description":"CALCIUM ACETATE ORAL 23 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULATED 10-YR ASCVD RS OF  Equal to  20 PCT  DUR PERF P","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1364","description":"CALCULATED 10-YR ASCVD RS OF  Equal to  20 PCT  DUR PERF P","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULATED 10-YR ASCVD RS OF  Equal to  20 PCT  DUR PERF P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1364","description":"CALCULATED 10-YR ASCVD RS OF  Equal to  20 PCT  DUR PERF P","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST EACH IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92533","description":"CALORIC VESTIBULAR TEST EACH IRRIGATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST EACH IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92533","description":"CALORIC VESTIBULAR TEST EACH IRRIGATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST W/REC BI BITHERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92537","description":"CALORIC VESTIBULAR TEST W/REC BI BITHERMAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST W/REC BI BITHERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92537","description":"CALORIC VESTIBULAR TEST W/REC BI BITHERMAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92538","description":"CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92538","description":"CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALR GENE ANALYSIS COMMON VARIANTS IN EXON 9","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81219","description":"CALR GENE ANALYSIS COMMON VARIANTS IN EXON 9","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.15,"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":null,"billing_code":"3301F","description":"CANCER STAGE DOCD METASTATIC  AND  REVIEWED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHARIDIN TOP ADM 0.7 PCT  SINGLE UNIT DOSE APPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7354","description":"CANTHARIDIN TOP ADM 0.7 PCT  SINGLE UNIT DOSE APPL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":656.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":667.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHARIDIN TOP ADM 0.7 PCT  SINGLE UNIT DOSE APPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7354","description":"CANTHARIDIN TOP ADM 0.7 PCT  SINGLE UNIT DOSE APPL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":656.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":667.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67950","description":"CANTHOPLASTY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":246.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":345.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANTHOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67950","description":"CANTHOPLASTY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":246.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":345.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAP FOR BREAST PUMP BOTTLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4283","description":"CAP FOR BREAST PUMP BOTTLE REPLACEMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAP FOR BREAST PUMP BOTTLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4283","description":"CAP FOR BREAST PUMP BOTTLE REPLACEMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPECITABINE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8522","description":"CAPECITABINE ORAL 50 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPECITABINE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8522","description":"CAPECITABINE ORAL 50 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSAICIN 8 PCT  PATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7336","description":"CAPSAICIN 8 PCT  PATCH PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSAICIN 8 PCT  PATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7336","description":"CAPSAICIN 8 PCT  PATCH PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":748.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":748.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":823.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":823.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":823.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":807.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":807.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":840.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":840.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":857.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":857.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":847.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":847.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR ION CHNNLPATH DUP/DEL GN ALYS PANEL 2 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81414","description":"CAR ION CHNNLPATH DUP/DEL GN ALYS PANEL 2 GENES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":438.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR ION CHNNLPATH GENOMIC SEQ ALYS INC 10 GNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81413","description":"CAR ION CHNNLPATH GENOMIC SEQ ALYS INC 10 GNS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":438.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR SCR SEV INH COND GENOMIC SEQ ALYS PNL 5 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0449U","description":"CAR SCR SEV INH COND GENOMIC SEQ ALYS PNL 5 GEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1368.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1368.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY AUTOL CAR-T CELL ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38228","description":"CAR-T THERAPY AUTOL CAR-T CELL ADMINISTRATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY AUTOL CAR-T CELL ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38228","description":"CAR-T THERAPY AUTOL CAR-T CELL ADMINISTRATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY HRVG BLD-DRV T LYMPHCYT PR DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38225","description":"CAR-T THERAPY HRVG BLD-DRV T LYMPHCYT PR DAY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY HRVG BLD-DRV T LYMPHCYT PR DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38225","description":"CAR-T THERAPY HRVG BLD-DRV T LYMPHCYT PR DAY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY PREPJ BLD-DRV T LYMPHCYT F/TRNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38226","description":"CAR-T THERAPY PREPJ BLD-DRV T LYMPHCYT F/TRNS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY PREPJ BLD-DRV T LYMPHCYT F/TRNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38226","description":"CAR-T THERAPY PREPJ BLD-DRV T LYMPHCYT F/TRNS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY RECEIPT  and  PREPJ CAR-T CELLS F/ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38227","description":"CAR-T THERAPY RECEIPT  and  PREPJ CAR-T CELLS F/ADMN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY RECEIPT  and  PREPJ CAR-T CELLS F/ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38227","description":"CAR-T THERAPY RECEIPT  and  PREPJ CAR-T CELLS F/ADMN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBIDOPA 5 MG/LEVODOPA 20 MG ENT SUSP, 100 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7340","description":"CARBIDOPA 5 MG/LEVODOPA 20 MG ENT SUSP, 100 ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":244.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBIDOPA 5 MG/LEVODOPA 20 MG ENT SUSP, 100 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7340","description":"CARBIDOPA 5 MG/LEVODOPA 20 MG ENT SUSP, 100 ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":244.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBIDPA 5 MG/LEVODPA 20 MG EN SUSP 100 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7340","description":"CARBIDPA 5 MG/LEVODPA 20 MG EN SUSP 100 ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":244.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":190.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":190.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.37,"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":null,"billing_code":"G8961","description":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.39,"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":"2022","billing_code":"78414","description":"CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":270.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":270.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":253.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":361.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":253.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":361.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":414.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":414.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":246.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":246.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.88,"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":null,"billing_code":"G8962","description":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.84,"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":"2022","billing_code":"92971","description":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOKYMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0035","description":"CARDIOKYMOGRAPHY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOKYMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0035","description":"CARDIOKYMOGRAPHY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1094.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1094.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1094.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1094.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":874.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":874.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":874.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":874.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99484","description":"CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99484","description":"CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96161","description":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96161","description":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING FACE-TO-FACE; EA ADD 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0540","description":"CAREGIVER TRAINING FACE-TO-FACE; EA ADD 15 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING FACE-TO-FACE; EA ADD 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0540","description":"CAREGIVER TRAINING FACE-TO-FACE; EA ADD 15 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING FACE-TO-FACE; INITIAL 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0539","description":"CAREGIVER TRAINING FACE-TO-FACE; INITIAL 30 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING FACE-TO-FACE; INITIAL 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0539","description":"CAREGIVER TRAINING FACE-TO-FACE; INITIAL 30 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING NO PT PRSNT FTF; INIT 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0541","description":"CAREGIVER TRAINING NO PT PRSNT FTF; INIT 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING NO PT PRSNT FTF; INIT 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0541","description":"CAREGIVER TRAINING NO PT PRSNT FTF; INIT 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING STRATEGIES and TQ 1ST 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97550","description":"CAREGIVER TRAINING STRATEGIES and TQ 1ST 30 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING STRATEGIES and TQ 1ST 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97550","description":"CAREGIVER TRAINING STRATEGIES and TQ 1ST 30 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING STRATEGIES and TQ EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97551","description":"CAREGIVER TRAINING STRATEGIES and TQ EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING STRATEGIES and TQ EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97551","description":"CAREGIVER TRAINING STRATEGIES and TQ EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRNG NO PT PRSNT FTF; EA ADD 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0542","description":"CAREGIVER TRNG NO PT PRSNT FTF; EA ADD 15 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRNG NO PT PRSNT FTF; EA ADD 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0542","description":"CAREGIVER TRNG NO PT PRSNT FTF; EA ADD 15 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4322","description":"CAREGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4322","description":"CAREGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREPATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4236","description":"CAREPATCH PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREPATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4236","description":"CAREPATCH PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1301.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1301.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1301.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1301.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAROTENE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82380","description":"CAROTENE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.92,"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":null,"billing_code":"3100F","description":"CAROTID IMAGNG REPORT DIR/INDIR MEAS VESSEL DIAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":279.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":328.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":279.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":328.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":494.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":494.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":273.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":321.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":273.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":321.59,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.51,"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":"2022","billing_code":"Q4036","description":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4580","description":"CAST SUPPLIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4580","description":"CAST SUPPLIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES UNLISTED TYPES AND MATERIALS OF CASTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4050","description":"CAST SUPPLIES UNLISTED TYPES AND MATERIALS OF CASTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES UNLISTED TYPES AND MATERIALS OF CASTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4050","description":"CAST SUPPLIES UNLISTED TYPES AND MATERIALS OF CASTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH CLCT SPECIMEN SINGLE PT ALL PLACES SERVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9612","description":"CATH CLCT SPECIMEN SINGLE PT ALL PLACES SERVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH CLCT SPECIMEN SINGLE PT ALL PLACES SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9612","description":"CATH CLCT SPECIMEN SINGLE PT ALL PLACES SERVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":339.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":484.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":339.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":484.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":377.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":538.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":377.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":538.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":538.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":389.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":555.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":389.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":555.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":179.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":418.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":597.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":179.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":418.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":597.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":421.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":602.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":421.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":602.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":459.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":657.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":459.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":657.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION FOR COLLECTION OF SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9615","description":"CATHETERIZATION FOR COLLECTION OF SPECIMEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION FOR COLLECTION OF SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9615","description":"CATHETERIZATION FOR COLLECTION OF SPECIMEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.828,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHJ RMVL TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53866","description":"CATHJ RMVL TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CATHJ RMVL TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53866","description":"CATHJ RMVL TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV3 VACCINE ABX FREE 0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90661","description":"CCIIV3 VACCINE ABX FREE 0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV3 VACCINE ABX FREE 0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90661","description":"CCIIV3 VACCINE ABX FREE 0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV3 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90661","description":"CCIIV3 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90756","description":"CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90756","description":"CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90674","description":"CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90674","description":"CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCND1/IGH TRANSLOCATION ALYS MAJOR BP QUAL and QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81168","description":"CCND1/IGH TRANSLOCATION ALYS MAJOR BP QUAL and QUAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.48,"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":null,"billing_code":"3496F","description":"CD4 Plus  CELL COUNT  Equal to  GT  500 CELLS/MM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDC 2019 NOVEL CORONAVIRUS RT RT-PCR DX PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"U0001","description":"CDC 2019 NOVEL CORONAVIRUS RT RT-PCR DX PANEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDP-SOT 6 CONDITIONS W/I and R W/MCT  and  ADT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92549","description":"CDP-SOT 6 CONDITIONS W/I and R W/MCT  and  ADT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDP-SOT 6 CONDITIONS W/I and R W/MCT  and  ADT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92549","description":"CDP-SOT 6 CONDITIONS W/I and R W/MCT  and  ADT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.03,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.47,"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":"2022","billing_code":"92548","description":"CDP-SOT 6 CONDITIONS W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEBPA GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81218","description":"CEBPA GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4259","description":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4259","description":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELL ENUMERATION IMMUNE SELECTJ  AND  ID PHYS INTERP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86153","description":"CELL ENUMERATION IMMUNE SELECTJ  AND  ID PHYS INTERP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA CORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4214","description":"CELLESTA CORD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA CORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4214","description":"CELLESTA CORD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA OR CELLESTA DUO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4184","description":"CELLESTA OR CELLESTA DUO PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA OR CELLESTA DUO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4184","description":"CELLESTA OR CELLESTA DUO PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.9,"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":null,"billing_code":"3095F","description":"CENTRAL DUAL ENERGY ABSORPTIOMETRY DOCD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":704.21,"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":"2022","billing_code":"25335","description":"CENTRALIZATION OF WRIST ON ULNA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":704.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":704.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERULOPLASMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82390","description":"CERULOPLASMIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":288.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":394.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":339.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL  and  OCULAR VEMP TESTING W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92519","description":"CERVICAL  and  OCULAR VEMP TESTING W/I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL  and  OCULAR VEMP TESTING W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92519","description":"CERVICAL  and  OCULAR VEMP TESTING W/I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CAP FOR CONTRACEPTIVE USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4261","description":"CERVICAL CAP FOR CONTRACEPTIVE USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL CAP FOR CONTRACEPTIVE USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4261","description":"CERVICAL CAP FOR CONTRACEPTIVE USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.65,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":513.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":552.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":552.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CES SYSTEM SUPPLIES  and  ACCESSORIES PER MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4596","description":"CES SYSTEM SUPPLIES  and  ACCESSORIES PER MONTH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CES SYSTEM SUPPLIES  and  ACCESSORIES PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4596","description":"CES SYSTEM SUPPLIES  and  ACCESSORIES PER MONTH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":766.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":766.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":798.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":939.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":798.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":939.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37214","description":"CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37214","description":"CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CFTR GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81220","description":"CFTR GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":417.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CFTR GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81222","description":"CFTR GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":326.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CFTR GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81223","description":"CFTR GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":374.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CFTR GENE ANALYSIS INTRON 8 POLY-T ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81224","description":"CFTR GENE ANALYSIS INTRON 8 POLY-T ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CFTR GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81221","description":"CFTR GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.904,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":286.9004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":286.9004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":296.7002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":296.7002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":303.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":303.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":400.8108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":400.8108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":286.9004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":286.9004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":296.7002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":296.7002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":303.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":303.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":400.8108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":400.8108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":142.7888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":142.7888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":144.7528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":144.7528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":148.1196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":148.1196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.8294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.8294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":164.7934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":164.7934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":168.1602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":168.1602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":200.4254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":200.4254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.7542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.7542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":219.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":219.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":241.6889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":241.6889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":298.2032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":298.2032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":142.7888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":142.7888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":144.7528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":144.7528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":148.1196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":148.1196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.8294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.8294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":164.7934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":164.7934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":168.1602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":168.1602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.9003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":200.4254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":200.4254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.7542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.7542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":219.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":219.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":241.6889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":241.6889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":298.2032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":298.2032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":200.4054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":200.4054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.6499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.6499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":206.4977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":206.4977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":255.5169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":255.5169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":258.3226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":258.3226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.1323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.1323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":291.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":291.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.3492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.3492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":200.4054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":200.4054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.6499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.6499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":206.4977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":206.4977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":255.5169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":255.5169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":258.3226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":258.3226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.1323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.1323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":291.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":291.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.3492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.3492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.2534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.2534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.9368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.9368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":129.8226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":129.8226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.3649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.3649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":182.6094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":182.6094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":186.4572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":186.4572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":191.4874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":191.4874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":269.9461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":269.9461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.2534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.2534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.9368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.9368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":129.8226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":129.8226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.3649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.3649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":182.6094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":182.6094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":186.4572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":186.4572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":191.4874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":191.4874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":269.9461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":269.9461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64644","description":"CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64644","description":"CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64643","description":"CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64643","description":"CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.903,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION 1 EXTREMITY EA ADDL 5 OR GT  MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64645","description":"CHEMODENERVATION 1 EXTREMITY EA ADDL 5 OR GT  MUSCLES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION 1 EXTREMITY EA ADDL 5 OR GT  MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64645","description":"CHEMODENERVATION 1 EXTREMITY EA ADDL 5 OR GT  MUSCLES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.788,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64616","description":"CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64616","description":"CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64642","description":"CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64642","description":"CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64615","description":"CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64615","description":"CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST SHELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0457","description":"CHEST SHELL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":450.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST WRAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0459","description":"CHEST WRAP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":352.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST WRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0459","description":"CHEST WRAP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":352.0,"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":null,"billing_code":"3006F","description":"CHEST X-RAY RESULTS DOCUMENTED  AND  REVIEWED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIMERISM W/COMP TO BASELINE W/CELL SELECTION EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81268","description":"CHIMERISM W/COMP TO BASELINE W/CELL SELECTION EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIMERISM W/COMP TO BASELINE W/O CELL SELECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81267","description":"CHIMERISM W/COMP TO BASELINE W/O CELL SELECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.6,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.6,"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":"2022","billing_code":"A7036","description":"CHINSTRAP USED W/POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.6,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.25,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.25,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.37,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.37,"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":null,"billing_code":"G9230","description":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLOROPROCAINE HCL OPHTHALMIC 3 PCT  GEL, 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2403","description":"CHLOROPROCAINE HCL OPHTHALMIC 3 PCT  GEL, 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLOROPROCAINE HCL OPHTHALMIC 3 PCT  GEL, 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2403","description":"CHLOROPROCAINE HCL OPHTHALMIC 3 PCT  GEL, 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORIPLY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4359","description":"CHORIPLY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORIPLY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4359","description":"CHORIPLY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM BREAKAGE SYNDS SCORE 100 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88249","description":"CHRMSM BREAKAGE SYNDS SCORE 100 CLL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.7159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.7159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.4887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.4887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":74.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":74.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.7159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.7159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.4887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.4887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":74.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":74.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRON CARE MANAGEMENT SRVC 20 MIN PER MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99490","description":"CHRON CARE MANAGEMENT SRVC 20 MIN PER MONTH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC CARE MGMT SVC AT LEAST 30 MIN PER MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99491","description":"CHRONIC CARE MGMT SVC AT LEAST 30 MIN PER MONTH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC CARE MGMT SVC PHYS 1ST 30 MIN CAL MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99491","description":"CHRONIC CARE MGMT SVC PHYS 1ST 30 MIN CAL MONTH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC CARE MGMT SVC PHYS 1ST 30 MIN CAL MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99491","description":"CHRONIC CARE MGMT SVC PHYS 1ST 30 MIN CAL MONTH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC CARE MGMT SVCS STAFF 1ST 20 MIN CAL MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99490","description":"CHRONIC CARE MGMT SVCS STAFF 1ST 20 MIN CAL MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC CARE MGMT SVCS STAFF 1ST 20 MIN CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99490","description":"CHRONIC CARE MGMT SVCS STAFF 1ST 20 MIN CAL MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":291.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":291.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINACALCET ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0604","description":"CINACALCET ORAL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINACALCET ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0604","description":"CINACALCET ORAL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION AGE  GT 28 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54161","description":"CIRCUMCISION AGE  GT 28 DAYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION AGE  GT 28 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54161","description":"CIRCUMCISION AGE  GT 28 DAYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54150","description":"CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54150","description":"CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":413.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":413.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.89,"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":null,"billing_code":"G8937","description":"CLIN DID NOT PRSC ACE INHIB/ARB TX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":546.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":546.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":393.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":393.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":263.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":263.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":284.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":334.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":401.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":284.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":334.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":401.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":309.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":309.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":413.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":486.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":571.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":413.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":486.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":486.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":571.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":297.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":350.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":470.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":297.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":350.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":470.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":333.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":333.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":175.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":175.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":353.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":415.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":509.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":353.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":415.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":509.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1631.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1631.04,"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":"2022","billing_code":"33600","description":"CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1631.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1631.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33675","description":"CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1356.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1356.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33675","description":"CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1356.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1356.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33677","description":"CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1384.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1384.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33677","description":"CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1384.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1384.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE MULTIPLE VSD W/RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33676","description":"CLOSURE MULTIPLE VSD W/RESECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1332.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1332.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE MULTIPLE VSD W/RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33676","description":"CLOSURE MULTIPLE VSD W/RESECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1332.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1332.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1584.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1584.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1584.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1584.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1597.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1597.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1597.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1597.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1342.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1342.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1342.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1342.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":589.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":589.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":470.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":552.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":470.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":552.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":828.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":828.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":654.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":654.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":970.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":970.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":970.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":970.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1342.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1342.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1647.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1647.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1647.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1647.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1647.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1647.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":401.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":472.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":494.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.3805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":380.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":447.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":492.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":303.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":310.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":303.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":310.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":231.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":272.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":231.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":272.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":288.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":359.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":288.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":359.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":478.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":478.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMPLX CHRON CARE MGMT EA ADDL 30 MIN PER MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99489","description":"CMPLX CHRON CARE MGMT EA ADDL 30 MIN PER MONTH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMPLX CHRON CARE MGMT W/O PT VST 1ST HR PER MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99487","description":"CMPLX CHRON CARE MGMT W/O PT VST 1ST HR PER MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMS IC MDL HV PT ASMT CLIN;NOT BILL 30-DAY PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9490","description":"CMS IC MDL HV PT ASMT CLIN;NOT BILL 30-DAY PER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMS IC MDL HV PT ASMT CLIN;NOT BILL 30-DAY PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9490","description":"CMS IC MDL HV PT ASMT CLIN;NOT BILL 30-DAY PER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMS ME FORM 2728 FOR DIALYSIS PTS:INIT FORM CMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1265","description":"CMS ME FORM 2728 FOR DIALYSIS PTS:INIT FORM CMPL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMS ME FORM 2728 FOR DIALYSIS PTS:INIT FORM CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1265","description":"CMS ME FORM 2728 FOR DIALYSIS PTS:INIT FORM CMPL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNBP GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81187","description":"CNBP GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87483","description":"CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNSL VISIT DISCUSS LDCT USING LOW DOSE CT SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0296","description":"CNSL VISIT DISCUSS LDCT USING LOW DOSE CT SCAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNSL VISIT DISCUSS LDCT USING LOW DOSE CT SCAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0296","description":"CNSL VISIT DISCUSS LDCT USING LOW DOSE CT SCAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":813.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":957.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":813.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":813.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":957.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18038.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18038.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5473.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5473.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6448.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6448.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":975.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCOON MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4264","description":"COCOON MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCOON MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4264","description":"COCOON MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4229","description":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4229","description":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 AND BEHAVIORAL IMPAIRMENT SCRNG PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3755F","description":"COGNITIVE AND BEHAVIORAL IMPAIRMENT SCRNG PERFORMED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 AND BEHAVIORAL IMPAIRMENT SCRNG PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3755F","description":"COGNITIVE AND BEHAVIORAL IMPAIRMENT SCRNG PERFORMED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COHEALYX COLLAGEN DERMAL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2036","description":"COHEALYX COLLAGEN DERMAL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COHEALYX COLLAGEN DERMAL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2036","description":"COHEALYX COLLAGEN DERMAL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLD/HOT FL BTL ICE CAP/C HEAT  and / COLD WRAP ANY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9273","description":"COLD/HOT FL BTL ICE CAP/C HEAT  and / COLD WRAP ANY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLD/HOT FL BTL ICE CAP/C HEAT  and / COLD WRAP ANY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9273","description":"COLD/HOT FL BTL ICE CAP/C HEAT  and / COLD WRAP ANY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":935.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":935.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLL-E-DERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4193","description":"COLL-E-DERM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLL-E-DERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4193","description":"COLL-E-DERM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN SKIN TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q3031","description":"COLLAGEN SKIN TEST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN SKIN TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q3031","description":"COLLAGEN SKIN TEST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION CAPILLARY BLOOD SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36416","description":"COLLECTION CAPILLARY BLOOD SPECIMEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION CAPILLARY BLOOD SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36416","description":"COLLECTION CAPILLARY BLOOD SPECIMEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLJ  AND  INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99091","description":"COLLJ  AND  INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLJ  AND  INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99091","description":"COLLJ  AND  INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":551.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":551.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLEXIBLE WITH DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45393","description":"COLONOSCOPY FLEXIBLE WITH DECOMPRESSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLEXIBLE WITH DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45393","description":"COLONOSCOPY FLEXIBLE WITH DECOMPRESSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45388","description":"COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1342.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1342.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":215.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45388","description":"COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1342.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1342.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":215.985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":232.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":273.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":232.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":273.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/BALLOON DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44405","description":"COLONOSCOPY STOMA W/BALLOON DILATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":323.1537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":323.1537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":327.3622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":327.3622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":334.5768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":334.5768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":489.6906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":489.6906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/BALLOON DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44405","description":"COLONOSCOPY STOMA W/BALLOON DILATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":323.1537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":323.1537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":327.3622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":327.3622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":334.5768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":334.5768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":489.6906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":489.6906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.674,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44403","description":"COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":154.1719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":154.1719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.9976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.9976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":174.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":174.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44403","description":"COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":154.1719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":154.1719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.9976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.9976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":174.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":174.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/ENDOSCOPIC ULTRASOUND EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44406","description":"COLONOSCOPY STOMA W/ENDOSCOPIC ULTRASOUND EXAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":115.2331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":115.2331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":115.7942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":115.7942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.7562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.7562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":144.2919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":144.2919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/ENDOSCOPIC ULTRASOUND EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44406","description":"COLONOSCOPY STOMA W/ENDOSCOPIC ULTRASOUND EXAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":115.2331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":115.2331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":115.7942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":115.7942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.7562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.7562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":144.2919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":144.2919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/SUBMUCOSAL INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44404","description":"COLONOSCOPY STOMA W/SUBMUCOSAL INJECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":253.0118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":253.0118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":256.0981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":256.0981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":261.3888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":261.3888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":376.6619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":376.6619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/SUBMUCOSAL INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44404","description":"COLONOSCOPY STOMA W/SUBMUCOSAL INJECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":253.0118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":253.0118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":256.0981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":256.0981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":261.3888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":261.3888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":376.6619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":376.6619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/US GID NDL ASPIR/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44407","description":"COLONOSCOPY STOMA W/US GID NDL ASPIR/BX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":154.1719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":154.1719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.9976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.9976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":174.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":174.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/US GID NDL ASPIR/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44407","description":"COLONOSCOPY STOMA W/US GID NDL ASPIR/BX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":154.1719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":154.1719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.9976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.9976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":174.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":174.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44408","description":"COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44408","description":"COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":297.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":297.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.9174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.9174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":200.4054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":200.4054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.6499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.6499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":206.4977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":206.4977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":291.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":291.8905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.9174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.9174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":200.4054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":200.4054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.6499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.6499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":206.4977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":206.4977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":291.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":291.8905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.9174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.9174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":200.4054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":200.4054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.6499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.6499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":206.4977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":206.4977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":291.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":291.8905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.9174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.9174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":200.4054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":200.4054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.6499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.6499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":206.4977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":206.4977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":291.8905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":291.8905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCR RSLT NOT DOC and REV; RSN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1315","description":"COLORECTAL CANCER SCR RSLT NOT DOC and REV; RSN NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SCR RSLT NOT DOC and REV; RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1315","description":"COLORECTAL CANCER SCR RSLT NOT DOC and REV; RSN NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"M1277","description":"COLORECTAL CANCER SCREENING RESULTS DOC  and  REV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"M1277","description":"COLORECTAL CANCER SCREENING RESULTS DOC  and  REV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3017F","description":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.2534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.2534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.9368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.9368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":129.8226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":129.8226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":191.4874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":191.4874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.2534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.2534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.9368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.9368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":129.8226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":129.8226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":191.4874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":191.4874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":646.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":646.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":244.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":244.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":236.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":236.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":231.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":296.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":231.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":296.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":219.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":219.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":263.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":263.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":298.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":298.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1438.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1438.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.5,"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":null,"billing_code":"4153F","description":"COMB PEGINTERF/RIBAVIRIN TX PRESCRIBED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":434.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1625.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1625.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1625.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1625.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.0,"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":null,"billing_code":"0012F","description":"COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA ASSMT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ASMT OF  AND  CARE PLNG PT RQR CC MGMT SRVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0506","description":"COMP ASMT OF  AND  CARE PLNG PT RQR CC MGMT SRVC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP ASMT OF  AND  CARE PLNG PT RQR CC MGMT SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0506","description":"COMP ASMT OF  AND  CARE PLNG PT RQR CC MGMT SRVC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"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":null,"billing_code":"0014F","description":"COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPARATIVE ANAL STR MARKERS EA ADDL SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81266","description":"COMPARATIVE ANAL STR MARKERS EA ADDL SPECIMEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":228.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPARATIVE ANAL STR MARKERS PATIENT AND COMP SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81265","description":"COMPARATIVE ANAL STR MARKERS PATIENT AND COMP SPEC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.8,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1785.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1785.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1891.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1891.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1583.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1583.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1583.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1583.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1785.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1785.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1785.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1785.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE AA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4303","description":"COMPLETE AA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE AA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4303","description":"COMPLETE AA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4302","description":"COMPLETE ACA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4302","description":"COMPLETE ACA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4271","description":"COMPLETE FT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4271","description":"COMPLETE FT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"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":null,"billing_code":"2029F","description":"COMPLETE PHYSICAL SKIN EXAM PERFORMED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1891.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1891.12,"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":"2022","billing_code":"33697","description":"COMPLETE REPAIR TOF W/PULMONARY ATRESIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1891.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1891.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1758.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1758.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1758.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1758.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE SL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4270","description":"COMPLETE SL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE SL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4270","description":"COMPLETE SL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CHRONIC CARE MGMT SVC 1ST 60 MIN CAL MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99487","description":"COMPLEX CHRONIC CARE MGMT SVC 1ST 60 MIN CAL MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CHRONIC CARE MGMT SVC 1ST 60 MIN CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99487","description":"COMPLEX CHRONIC CARE MGMT SVC 1ST 60 MIN CAL MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX REHAB PWR WC ACC PWR SEAT EL SYS ANY TYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2298","description":"COMPLEX REHAB PWR WC ACC PWR SEAT EL SYS ANY TYP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2750.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2750.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS STERL PAD  GT  48 SQ W/ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6205","description":"COMPOS DRESS STERL PAD  GT  48 SQ W/ADHES BORDR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS STERL PAD  GT  48 SQ W/ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6205","description":"COMPOS DRESS STERL PAD  GT  48 SQ W/ADHES BORDR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE METABOLIC PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80053","description":"COMPREHENSIVE METABOLIC PANEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE MULTIDISCIPLINARY EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H2000","description":"COMPREHENSIVE MULTIDISCIPLINARY EVALUATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE MULTIDISCIPLINARY EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2000","description":"COMPREHENSIVE MULTIDISCIPLINARY EVALUATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":525.0,"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":"2022","billing_code":"E0565","description":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":525.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTER-AIDED MAPG CERVIX UTERI DRG COLPOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57465","description":"COMPUTER-AIDED MAPG CERVIX UTERI DRG COLPOSCOPY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTER-AIDED MAPG CERVIX UTERI DRG COLPOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57465","description":"COMPUTER-AIDED MAPG CERVIX UTERI DRG COLPOSCOPY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":542.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":638.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":542.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":638.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.26,"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":null,"billing_code":"4182F","description":"CONFORMAL RADIATION THERAPY NOT RECEIVED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"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":"A6443","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.23,"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":"A6444","description":"CONFORMING BANDGE NON-ELAST KNITTED/WOVEN NON-ST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMITY EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5020","description":"CONFORMITY EVALUATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMITY EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5020","description":"CONFORMITY EVALUATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":222.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":222.58,"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":null,"billing_code":"5200F","description":"CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":375.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":375.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":375.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1632.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1632.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1632.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1632.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MONITORING PATIENT PROVIDED EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95249","description":"CONT GLUC MONITORING PATIENT PROVIDED EQUIPMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MONITORING PATIENT PROVIDED EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95249","description":"CONT GLUC MONITORING PATIENT PROVIDED EQUIPMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MONITORING PATIENT PROVIDED EQUIPTMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95249","description":"CONT GLUC MONITORING PATIENT PROVIDED EQUIPTMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT IO NEUROPHYSIOL MON OUTSD OR-PT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0453","description":"CONT IO NEUROPHYSIOL MON OUTSD OR-PT EA 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT IO NEUROPHYSIOL MON OUTSD OR-PT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0453","description":"CONT IO NEUROPHYSIOL MON OUTSD OR-PT EA 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LAYER STERL  GT  48 SQ IN EACH DRESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6208","description":"CONTACT LAYER STERL  GT  48 SQ IN EACH DRESSING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LAYER STERL  GT  48 SQ IN EACH DRESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6208","description":"CONTACT LAYER STERL  GT  48 SQ IN EACH DRESSING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LAYER STERL 16 SQ IN/LESS EA DRESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6206","description":"CONTACT LAYER STERL 16 SQ IN/LESS EA DRESSING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LAYER STERL 16 SQ IN/LESS EA DRESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6206","description":"CONTACT LAYER STERL 16 SQ IN/LESS EA DRESSING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2522","description":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2522","description":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC DUAL FOCUS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2525","description":"CONTACT LENS HYDROPHILIC DUAL FOCUS PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS HYDROPHILIC DUAL FOCUS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2525","description":"CONTACT LENS HYDROPHILIC DUAL FOCUS PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2502","description":"CONTACT LENS PMMA BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA BIFOCAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2502","description":"CONTACT LENS PMMA BIFOCAL PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA COLOR VISION DEFIC PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2503","description":"CONTACT LENS PMMA COLOR VISION DEFIC PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA COLOR VISION DEFIC PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2503","description":"CONTACT LENS PMMA COLOR VISION DEFIC PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2500","description":"CONTACT LENS PMMA SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA SPHERICAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2500","description":"CONTACT LENS PMMA SPHERICAL PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA TORIC/PRISM BALLAST PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2501","description":"CONTACT LENS PMMA TORIC/PRISM BALLAST PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS PMMA TORIC/PRISM BALLAST PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2501","description":"CONTACT LENS PMMA TORIC/PRISM BALLAST PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2530","description":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2530","description":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2531","description":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":296.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2531","description":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":296.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":775.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":775.0,"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":null,"billing_code":"4159F","description":"CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY CONDOM FEMALE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4268","description":"CONTRACEPTIVE SUPPLY CONDOM FEMALE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY CONDOM FEMALE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4268","description":"CONTRACEPTIVE SUPPLY CONDOM FEMALE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY CONDOM MALE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4267","description":"CONTRACEPTIVE SUPPLY CONDOM MALE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY CONDOM MALE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4267","description":"CONTRACEPTIVE SUPPLY CONDOM MALE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY SPERMICIDE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4269","description":"CONTRACEPTIVE SUPPLY SPERMICIDE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY SPERMICIDE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4269","description":"CONTRACEPTIVE SUPPLY SPERMICIDE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1379.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1379.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1379.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1379.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_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":"both","negotiated_type":"UCR","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_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":"both","negotiated_type":"UCR","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"1015F","description":"COPD SYMPTOMS ASSESSED/TOOL COMPLETED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":453.11,"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":"2022","billing_code":"23415","description":"CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":453.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":453.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32408","description":"CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":710.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32408","description":"CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":710.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92145","description":"CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92145","description":"CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":508.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":508.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":602.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":602.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":718.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":718.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1517.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1517.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1517.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1517.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1654.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1654.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1654.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1654.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1790.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1790.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1790.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1790.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1928.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1928.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1928.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1928.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1998.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1998.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1998.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1998.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2118.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2118.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2118.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2118.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":359.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":423.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":359.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":423.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.66,"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":null,"billing_code":"4175F","description":"CORRECT VISUAL ACUIT 20/40 OR GT  W/IN 90 DAYS SURG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HAMMERTOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28285","description":"CORRECTION HAMMERTOE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":274.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":274.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":396.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":396.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":313.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":533.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":399.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":313.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":533.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":313.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":533.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":533.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":399.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":399.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":601.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":601.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":620.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":620.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":620.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":402.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4022.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4022.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":402.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4022.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4022.8,"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":null,"billing_code":"4177F","description":"COUNSEL BENEF/RISK AREDS PREV AGE RELATED AMD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COVID-19 vaccine home admin","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0201","description":"COVID-19 vaccine home admin","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPLX CHRONIC CARE MGMT SVC EA ADDL 30 MIN CAL MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99489","description":"CPLX CHRONIC CARE MGMT SVC EA ADDL 30 MIN CAL MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPLX CHRONIC CARE MGMT SVC EA ADDL 30 MIN CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99489","description":"CPLX CHRONIC CARE MGMT SVC EA ADDL 30 MIN CAL MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92137","description":"CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92137","description":"CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":278.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL ELECTROTHERAPY STIMULATION SYST ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0732","description":"CRANIAL ELECTROTHERAPY STIMULATION SYST ANY TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":410.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL REMOLDING ORTHOTIC PED RIGID CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S1040","description":"CRANIAL REMOLDING ORTHOTIC PED RIGID CUSTOM FAB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2000.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2000.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL REMOLDING ORTHOTIC PED RIGID CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1040","description":"CRANIAL REMOLDING ORTHOTIC PED RIGID CUSTOM FAB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2000.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2000.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1562.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1562.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1316.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1316.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":887.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":887.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":887.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":761.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":761.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":917.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":917.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":917.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":939.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":939.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":784.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":784.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":784.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":784.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":784.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":784.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1123.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1123.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1123.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1123.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82565","description":"CREATININE BLOOD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE CLEARANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82575","description":"CREATININE CLEARANCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82570","description":"CREATININE OTHER SOURCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.89,"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":null,"billing_code":"4322F","description":"CRGVR PROVIDED W/ED REFERRED ADDL RESOURCES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRICOTRACHEAL RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31592","description":"CRICOTRACHEAL RESECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1339.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1339.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRICOTRACHEAL RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31592","description":"CRICOTRACHEAL RESECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1339.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1339.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99292","description":"CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99292","description":"CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1393.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1639.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1639.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1393.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1639.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1639.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1530.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1530.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1530.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1530.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1530.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1530.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1562.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1562.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1562.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1562.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7632","description":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7632","description":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":623.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":623.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":679.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":679.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":504.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":593.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":504.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":593.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":731.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":731.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":777.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":777.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":769.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":769.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH SUBST LOWER LEG PLATFORM W/WO WHEELS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0118","description":"CRUTCH SUBST LOWER LEG PLATFORM W/WO WHEELS EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1227.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1227.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89060","description":"CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTB GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81188","description":"CSTB GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTB GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81189","description":"CSTB GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTB GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81190","description":"CSTB GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2579.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2579.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":219.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":219.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":219.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":221.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":259.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":260.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":260.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":260.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":260.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERE PRFUJ ALYS C Plus  W/CT/CTA SAME ANATOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70472","description":"CT CERE PRFUJ ALYS C Plus  W/CT/CTA SAME ANATOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERE PRFUJ ALYS C Plus  W/CT/CTA SAME ANATOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70472","description":"CT CERE PRFUJ ALYS C Plus  W/CT/CTA SAME ANATOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERE PRFUJ ALYS C Plus  W/O CT/CTA SAME ANATOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70473","description":"CT CERE PRFUJ ALYS C Plus  W/O CT/CTA SAME ANATOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERE PRFUJ ALYS C Plus  W/O CT/CTA SAME ANATOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70473","description":"CT CERE PRFUJ ALYS C Plus  W/O CT/CTA SAME ANATOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":380.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":380.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":328.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":328.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":228.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":228.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":246.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":379.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":246.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":379.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":173.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":173.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.94,"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":null,"billing_code":"3111F","description":"CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.37,"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":"2022","billing_code":"70481","description":"CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":190.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":190.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":233.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":233.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.1,"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":null,"billing_code":"3112F","description":"CT/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":221.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.44,"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":"2022","billing_code":"74174","description":"CTA ABD and PLVS W/CNTRST  and  IMG POSTPROCESSING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":221.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":249.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":332.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":249.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":332.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":259.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":259.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA HEAD and NECK C Plus  W/NONCONTRAST IMG and POST-PXESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70471","description":"CTA HEAD and NECK C Plus  W/NONCONTRAST IMG and POST-PXESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":183.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA HEAD and NECK C Plus  W/NONCONTRAST IMG and POST-PXESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70471","description":"CTA HEAD and NECK C Plus  W/NONCONTRAST IMG and POST-PXESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":183.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":298.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":298.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1398.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1398.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1271.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1271.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO ANTERIOR POSTERIOR LAT CNTRL PREFAB ITEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0720","description":"CTLSO ANTERIOR POSTERIOR LAT CNTRL PREFAB ITEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1500.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1500.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1295.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1295.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":373.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":373.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING ID BLD PTHGN and RESIST TYPING 6 Plus TRGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87154","description":"CULTURE TYPING ID BLD PTHGN and RESIST TYPING 6 Plus TRGT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.52,"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":null,"billing_code":"G8428","description":"CUR MEDS NO DOC OBDT UPD/REV ELIG CLIN RSN N GVN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURAMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4440","description":"CURAMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CURAMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4440","description":"CURAMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1316","description":"CURRENT TOBACCO NON-USER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1316","description":"CURRENT TOBACCO NON-USER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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/PRIOR LVEF LT or equal to  40 PCT /DOC MOD/SEV LEF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1150","description":"CURRENT/PRIOR LVEF LT or equal to  40 PCT /DOC MOD/SEV LEF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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/PRIOR LVEF LT or equal to  40 PCT /DOC MOD/SEV LEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1150","description":"CURRENT/PRIOR LVEF LT or equal to  40 PCT /DOC MOD/SEV LEF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":733.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":400.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":961.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":715.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CVD RISK ASSESSMENT PERFORMED HAVE DOC CR SCORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1258","description":"CVD RISK ASSESSMENT PERFORMED HAVE DOC CR SCORE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CVD RISK ASSESSMENT PERFORMED HAVE DOC CR SCORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1258","description":"CVD RISK ASSESSMENT PERFORMED HAVE DOC CR SCORE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CVD RISK ASSMT NOT PERFORMED/INC REASON NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1257","description":"CVD RISK ASSMT NOT PERFORMED/INC REASON NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CVD RISK ASSMT NOT PERFORMED/INC REASON NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1257","description":"CVD RISK ASSMT NOT PERFORMED/INC REASON NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS DISK PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4362","description":"CYGNUS DISK PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS DISK PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4362","description":"CYGNUS DISK PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4282","description":"CYGNUS DUAL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4282","description":"CYGNUS DUAL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4199","description":"CYGNUS MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4199","description":"CYGNUS MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4170","description":"CYGNUS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4170","description":"CYGNUS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYMETRA INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4112","description":"CYMETRA INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":872.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYMETRA INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4112","description":"CYMETRA INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":872.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP2C19 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81225","description":"CYP2C19 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP2C9 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81227","description":"CYP2C9 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP2D6 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81226","description":"CYP2D6 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":338.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP3A4 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81230","description":"CYP3A4 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP3A5 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81231","description":"CYP3A5 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.11,"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":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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSERTION TRANSPROSTATIC IMPLANT EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52442","description":"CYSTO INSERTION TRANSPROSTATIC IMPLANT EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":722.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSERTION TRANSPROSTATIC IMPLANT SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52441","description":"CYSTO INSERTION TRANSPROSTATIC IMPLANT SINGLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":982.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC 1 IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52441","description":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC 1 IMPLANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":982.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC 1 IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52441","description":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC 1 IMPLANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.9305,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":982.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":982.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC IMPLANT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52442","description":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC IMPLANT EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":722.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC IMPLANT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52442","description":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC IMPLANT EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":722.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53865","description":"CYSTO INSJ TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2081.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2081.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53865","description":"CYSTO INSJ TEMP DEV ISCHMC RMDLG BLDR NECK and PRST8","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2081.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2081.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":398.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":398.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/DILAT RX BALO CATH URTL STRIX/STEN MALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52284","description":"CYSTO W/DILAT RX BALO CATH URTL STRIX/STEN MALE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1924.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1924.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/DILAT RX BALO CATH URTL STRIX/STEN MALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52284","description":"CYSTO W/DILAT RX BALO CATH URTL STRIX/STEN MALE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1924.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1924.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":415.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":415.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":303.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":303.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":308.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":308.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":376.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":376.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":284.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":334.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":284.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":334.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":249.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":249.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":279.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":328.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":279.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":328.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":270.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":270.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52000","description":"CYSTOURETHROSCOPY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52000","description":"CYSTOURETHROSCOPY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52287","description":"CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52287","description":"CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":293.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":344.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":293.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":344.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":211.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":211.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":211.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"CYTAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4166","description":"CYTAL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4166","description":"CYTAL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOG ALYS CHRML ABNOR INTEROG CPY NMBR VRNT OGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81354","description":"CYTOG ALYS CHRML ABNOR INTEROG CPY NMBR VRNT OGM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":947.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":947.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOG ALYS CHRMOML ABNOR COPY NUMBER VRNT CGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81228","description":"CYTOG ALYS CHRMOML ABNOR COPY NUMBER VRNT CGH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":675.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOG ALYS CHRMOML ABNOR CPY NUMBER and SNP VRNT CGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81229","description":"CYTOG ALYS CHRMOML ABNOR CPY NUMBER and SNP VRNT CGH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":870.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOG ALYS CHRMOML ABNOR LOW-PASS SEQ ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81349","description":"CYTOG ALYS CHRMOML ABNOR LOW-PASS SEQ ALYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":898.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOG GEN-WIDE ALYS HEM MAL STRUX VRNT and CNV OGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81195","description":"CYTOG GEN-WIDE ALYS HEM MAL STRUX VRNT and CNV OGM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1397.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1397.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":947.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":947.65,"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":null,"billing_code":"3155F","description":"CYTOGEN TEST DONE MARROW DIAG OR PRIOR TXMNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGENOM CONST MICROARRAY COPY NUMBER AND SNP VAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81229","description":"CYTOGENOM CONST MICROARRAY COPY NUMBER AND SNP VAR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":870.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGENOM CONST MICROARRAY COPY NUMBER VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81228","description":"CYTOGENOM CONST MICROARRAY COPY NUMBER VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":675.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGENOMIC NEOPLASIA MICROARRAY ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81277","description":"CYTOGENOMIC NEOPLASIA MICROARRAY ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":870.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":870.0,"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":null,"billing_code":"0551F","description":"CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88175","description":"CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88174","description":"CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":355.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":397.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":253.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":288.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88155","description":"CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR UNDER PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88150","description":"CYTP SLIDES C/V MNL SCR UNDER PHYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":"2022","billing_code":"88167","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR CELL S and I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88166","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS SUPV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88164","description":"CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiokymography","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0035","description":"Cardiokymography","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Chest wrap","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0459","description":"Chest wrap","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":352.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Conformity evaluation","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5020","description":"Conformity evaluation","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":211.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":378.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":211.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":378.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":436.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":436.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":504.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":593.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":504.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":593.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":467.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":549.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":467.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":549.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":436.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":467.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":549.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":269.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":269.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PERQ PRTL RMVL LIGA FLAVM BI 1NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62330","description":"DCMPRN PERQ PRTL RMVL LIGA FLAVM BI 1NTRSPC LMBR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PERQ PRTL RMVL LIGA FLAVM BI 1NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62330","description":"DCMPRN PERQ PRTL RMVL LIGA FLAVM BI 1NTRSPC LMBR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PRQ PRT RMV LIGA FLAVM BI ADD NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62331","description":"DCMPRN PRQ PRT RMV LIGA FLAVM BI ADD NTRSPC LMBR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PRQ PRT RMV LIGA FLAVM BI ADD NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62331","description":"DCMPRN PRQ PRT RMV LIGA FLAVM BI ADD NTRSPC LMBR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96574","description":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96574","description":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1115.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1115.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1115.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1115.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":769.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":769.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1022.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1022.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1022.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1022.15,"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":null,"billing_code":"4070F","description":"DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":236.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":236.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":52.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":52.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":53.4481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":53.4481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":54.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":54.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":84.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":84.7715,"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":"2022","billing_code":"G0248","description":"DEMO HOME INR MON PT W/MECH HT VALVE CAF/VTE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":52.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":52.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":53.4481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":53.4481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":54.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":54.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":84.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":84.7715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.94,"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":null,"billing_code":"G8432","description":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM FILLER INJ TX FACIAL LIPODYSTROPHY SYNDROME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0429","description":"DERM FILLER INJ TX FACIAL LIPODYSTROPHY SYNDROME","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM FILLER INJ TX FACIAL LIPODYSTROPHY SYNDROME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0429","description":"DERM FILLER INJ TX FACIAL LIPODYSTROPHY SYNDROME","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM-MAXX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4238","description":"DERM-MAXX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM-MAXX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4238","description":"DERM-MAXX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMA-GIDE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4203","description":"DERMA-GIDE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMA-GIDE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4203","description":"DERMA-GIDE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND CH N OR DERMABIND CH X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4429","description":"DERMABIND CH N OR DERMABIND CH X PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND CH N OR DERMABIND CH X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4429","description":"DERMABIND CH N OR DERMABIND CH X PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND CH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4288","description":"DERMABIND CH PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND CH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4288","description":"DERMABIND CH PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4287","description":"DERMABIND DL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4287","description":"DERMABIND DL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND FM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4313","description":"DERMABIND FM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND FM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4313","description":"DERMABIND FM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND SL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4284","description":"DERMABIND SL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND SL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4284","description":"DERMABIND SL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND TL  Plus  OR DERMABIND TL X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4426","description":"DERMABIND TL  Plus  OR DERMABIND TL X PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND TL  Plus  OR DERMABIND TL X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4426","description":"DERMABIND TL  Plus  OR DERMABIND TL X PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":237.9814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":237.9814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":240.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":240.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.8353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.8353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":342.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":342.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"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":"2022","billing_code":"15782","description":"DERMABRASION REGIONAL OTHER THAN FACE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":237.9814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":237.9814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":240.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":240.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.8353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.8353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":342.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":342.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":286.9004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":286.9004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":296.7002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":296.7002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":303.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":303.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":400.8108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":400.8108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":286.9004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":286.9004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":296.7002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":296.7002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":303.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":303.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":400.8108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":400.8108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":165.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":165.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":167.0179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":167.0179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":169.9037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":169.9037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":235.3761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":235.3761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":165.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":165.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":167.0179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":167.0179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":169.9037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":169.9037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":182.8699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":184.8339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":188.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":222.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":226.5383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":235.3761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":235.3761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.6333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.8349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":324.4764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":324.4764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":334.5568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":334.5568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":341.7112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":341.7112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.5879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.5879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.2294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.2294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":398.3458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":398.3458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":451.0124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":451.0124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":454.7399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":454.7399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":465.9426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":465.9426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":475.0209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":475.0209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":529.4711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":529.4711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":629.8742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":629.8742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":324.4764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":324.4764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":334.5568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":334.5568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":341.7112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":341.7112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.5879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.5879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.2294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.2294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":398.3458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":398.3458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":451.0124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":451.0124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":454.7399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":454.7399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":465.9426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":465.9426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":475.0209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":475.0209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":529.4711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":529.4711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":629.8742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":629.8742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMACYTE AC MATRIX AMNIOTIC MEMB ALLO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4343","description":"DERMACYTE AC MATRIX AMNIOTIC MEMB ALLO PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMACYTE AC MATRIX AMNIOTIC MEMB ALLO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4343","description":"DERMACYTE AC MATRIX AMNIOTIC MEMB ALLO PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.5875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":293.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":345.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":475.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":293.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":345.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":475.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":384.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":452.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":596.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":384.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":452.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":596.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":384.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":452.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":596.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":293.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":345.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":475.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAPURE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4152","description":"DERMAPURE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAPURE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4152","description":"DERMAPURE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAVEST AND PLURIVEST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4153","description":"DERMAVEST AND PLURIVEST PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAVEST AND PLURIVEST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4153","description":"DERMAVEST AND PLURIVEST PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1849.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1849.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1849.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1849.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":183.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":183.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64624","description":"DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64624","description":"DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.07,"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":null,"billing_code":"G8575","description":"DEVELOPED POSTOP RENAL FAILURE/REQ DIALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"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":"2022","billing_code":"96110","description":"DEVELOPMENTAL SCREEN W/SCORING  and  DOC STD INSTRM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96112","description":"DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96112","description":"DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96113","description":"DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96113","description":"DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELPMNT TESTING I AND R STANDARDIZD INSTRUMNT FORM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0451","description":"DEVELPMNT TESTING I AND R STANDARDIZD INSTRUMNT FORM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELPMNT TESTING I AND R STANDARDIZD INSTRUMNT FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0451","description":"DEVELPMNT TESTING I AND R STANDARDIZD INSTRUMNT FORM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE (HEMADY) ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8541","description":"DEXAMETHASONE (HEMADY) ORAL 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE (HEMADY) ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8541","description":"DEXAMETHASONE (HEMADY) ORAL 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7637","description":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7637","description":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1096","description":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1096","description":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXMEDETOMIDINE ORAL 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1105","description":"DEXMEDETOMIDINE ORAL 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXMEDETOMIDINE ORAL 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1105","description":"DEXMEDETOMIDINE ORAL 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY DELUXE FEATURE SHOE/CSTM MOLD SHOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5508","description":"DIAB ONLY DELUXE FEATURE SHOE/CSTM MOLD SHOE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY DELUXE FEATURE SHOE/CSTM MOLD SHOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5508","description":"DIAB ONLY DELUXE FEATURE SHOE/CSTM MOLD SHOE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY DIR FORM COMPRS MOLD PTS FT W/O HEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5510","description":"DIAB ONLY DIR FORM COMPRS MOLD PTS FT W/O HEAT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY DIR FORM COMPRS MOLD PTS FT W/O HEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5510","description":"DIAB ONLY DIR FORM COMPRS MOLD PTS FT W/O HEAT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MX DEN INSRT DIRECT CARV CUSTOM FAB EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5514","description":"DIAB ONLY MX DEN INSRT DIRECT CARV CUSTOM FAB EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MX DEN INSRT DIRECT CARV CUSTOM FAB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5514","description":"DIAB ONLY MX DEN INSRT DIRECT CARV CUSTOM FAB EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DIABETES PREV ONLINE/ELECTRONIC PRGRM PR 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0488T","description":"DIABETES PREV ONLINE/ELECTRONIC PRGRM PR 30 DAYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETES PREV ONLINE/ELECTRONIC PRGRM PR 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0488T","description":"DIABETES PREV ONLINE/ELECTRONIC PRGRM PR 30 DAYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETES PREVENTION PROG STANDARDIZED CURRICULUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0403T","description":"DIABETES PREVENTION PROG STANDARDIZED CURRICULUM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETES PREVENTION PROG STANDARDIZED CURRICULUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0403T","description":"DIABETES PREVENTION PROG STANDARDIZED CURRICULUM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW BIOPSIES  AND  ASPIRATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38222","description":"DIAGNOSTIC BONE MARROW BIOPSIES  AND  ASPIRATIONS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW BIOPSIES  AND  ASPIRATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38222","description":"DIAGNOSTIC BONE MARROW BIOPSIES  AND  ASPIRATIONS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI/BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0279","description":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI/BIL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI/BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0279","description":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI/BIL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62328","description":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62328","description":"DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36909","description":"DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S AND I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1540.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1540.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36909","description":"DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S AND I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1540.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1540.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAPER SERVICE REUSABLE DIAPER EACH DIAPER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4538","description":"DIAPER SERVICE REUSABLE DIAPER EACH DIAPER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAPER SERVICE REUSABLE DIAPER EACH DIAPER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4538","description":"DIAPER SERVICE REUSABLE DIAPER EACH DIAPER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAPHRAGM FOR CONTRACEPTIVE USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4266","description":"DIAPHRAGM FOR CONTRACEPTIVE USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAPHRAGM FOR CONTRACEPTIVE USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4266","description":"DIAPHRAGM FOR CONTRACEPTIVE USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.46,"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":null,"billing_code":"G9627","description":"DID NOT SUST BLAD INJ SRG/NOR DSCV SUBSQ UP 30PS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.79,"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":null,"billing_code":"4220F","description":"DIGOXIN MEDICATION THERAPY 6 MONTHS OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIHYDROTESTOSTERONE (DHT)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82642","description":"DIHYDROTESTOSTERONE (DHT)","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;NO RET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1221","description":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;NO RET","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;NO RET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1221","description":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;NO RET","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;RET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1220","description":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;RET","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;RET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1220","description":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;RET","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.0985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.0985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.0985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":436.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.8265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":436.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.8265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.8265,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIPHENHYDRAMINE HCL 50 MG ORAL NOT GT 48 HR DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0163","description":"DIPHENHYDRAMINE HCL 50 MG ORAL NOT GT 48 HR DOSE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIPHENHYDRAMINE HCL 50 MG ORAL NOT GT 48 HR DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0163","description":"DIPHENHYDRAMINE HCL 50 MG ORAL NOT GT 48 HR DOSE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR MEAS LIPOPROTEIN SMALL DENSE LDL CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83722","description":"DIR MEAS LIPOPROTEIN SMALL DENSE LDL CHOLESTEROL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1561.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1561.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1561.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1561.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1324.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1324.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1324.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1324.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":685.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":685.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":952.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":952.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":952.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":952.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1001.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1001.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1001.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1001.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":771.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":771.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1827.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1827.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1827.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1827.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1676.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1676.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1676.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1676.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":901.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":901.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":909.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":909.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":909.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1082.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1082.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1082.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1082.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":660.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":660.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR SKILL NRS HH HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0154","description":"DIR SKILL NRS HH HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR SKLED SERV RN OP REHAB EA 10 MIN AFTR 1ST 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0128","description":"DIR SKLED SERV RN OP REHAB EA 10 MIN AFTR 1ST 5","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR SKLED SERV RN OP REHAB EA 10 MIN AFTR 1ST 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0128","description":"DIR SKLED SERV RN OP REHAB EA 10 MIN AFTR 1ST 5","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1411.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1411.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1411.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1411.25,"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":null,"billing_code":"4187F","description":"DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"1111F","description":"DISCHRG MEDS RECONCILED W/CURRENT MED LIST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42975","description":"DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42975","description":"DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.14,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.39,"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":"2022","billing_code":"72285","description":"DISKOGRAPY CERVICAL/THORACIC RS and I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISP COLL and STOR BAG FOR BRST MK ANY SZ ANY TYP EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4287","description":"DISP COLL and STOR BAG FOR BRST MK ANY SZ ANY TYP EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISP COLL and STOR BAG FOR BRST MK ANY SZ ANY TYP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4287","description":"DISP COLL and STOR BAG FOR BRST MK ANY SZ ANY TYP EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL DRUG DELIV SYSTEM FLOW RATE 50 ML OR GT -HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4305","description":"DISPBL DRUG DELIV SYSTEM FLOW RATE 50 ML OR GT -HOUR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL DRUG DELIV SYSTEM FLOW RATE 50 ML OR GT -HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4305","description":"DISPBL DRUG DELIV SYSTEM FLOW RATE 50 ML OR GT -HOUR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL LINER/SHIELD/GUARD/PAD/UNDGRMNT INCONT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4535","description":"DISPBL LINER/SHIELD/GUARD/PAD/UNDGRMNT INCONT EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL LINER/SHIELD/GUARD/PAD/UNDGRMNT INCONT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4535","description":"DISPBL LINER/SHIELD/GUARD/PAD/UNDGRMNT INCONT EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5110","description":"DISPENSING FEE BILATERAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5110","description":"DISPENSING FEE BILATERAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE BINAURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5160","description":"DISPENSING FEE BINAURAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":305.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE BINAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5160","description":"DISPENSING FEE BINAURAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":305.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE CONTRALATERAL MONAURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5200","description":"DISPENSING FEE CONTRALATERAL MONAURAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE CONTRALATERAL MONAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5200","description":"DISPENSING FEE CONTRALATERAL MONAURAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5240","description":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5240","description":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5241","description":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5241","description":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE UNSPECIFIED HEARING AID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5090","description":"DISPENSING FEE UNSPECIFIED HEARING AID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE UNSPECIFIED HEARING AID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5090","description":"DISPENSING FEE UNSPECIFIED HEARING AID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPOSABL DRUG DEL SYS FLOW RATE  LT 50 ML PER HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4306","description":"DISPOSABL DRUG DEL SYS FLOW RATE  LT 50 ML PER HOUR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPOSABL DRUG DEL SYS FLOW RATE  LT 50 ML PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4306","description":"DISPOSABL DRUG DEL SYS FLOW RATE  LT 50 ML PER HOUR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISTAL TRANSCUT ELECTRICAL NERVE STIMULATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4540","description":"DISTAL TRANSCUT ELECTRICAL NERVE STIMULATOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISTAL TRANSCUT ELECTRICAL NERVE STIMULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4540","description":"DISTAL TRANSCUT ELECTRICAL NERVE STIMULATOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.23,"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":null,"billing_code":"4221F","description":"DIURETIC MEDICATION THERAPY 6 MOS OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":612.54,"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":"2022","billing_code":"43130","description":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":612.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1015.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1015.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1015.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1015.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1048.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1048.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1048.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1048.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":439.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":439.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":328.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":328.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":291.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":291.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":503.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":591.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34710","description":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":653.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34710","description":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":653.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34711","description":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":244.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34711","description":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":244.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":753.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":753.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":872.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":872.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DMD DUPLICATION/DELETION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81161","description":"DMD DUPLICATION/DELETION ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DME SUP/ACCESS/SRV-COMPON/OTH HCPCS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9900","description":"DME SUP/ACCESS/SRV-COMPON/OTH HCPCS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1000.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DME SUP/ACCESS/SRV-COMPON/OTH HCPCS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9900","description":"DME SUP/ACCESS/SRV-COMPON/OTH HCPCS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1000.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DMPK GENE ANALYSIS CHARACTERIZATION OF ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81239","description":"DMPK GENE ANALYSIS CHARACTERIZATION OF ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DMPK GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81234","description":"DMPK GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.08,"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":null,"billing_code":"1061F","description":"DOC ABSENCE PERM AND PERSISTENT AND PAROXYSM ATRIAL FIB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 REASN NO PRSC ACE INHIB/ARB/ARNI TH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2093","description":"DOC MED REASN NO PRSC ACE INHIB/ARB/ARNI TH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 REASN NO PRSC ACE INHIB/ARB/ARNI TH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2093","description":"DOC MED REASN NO PRSC ACE INHIB/ARB/ARNI TH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DOC  and  REVIEWING SP RESULTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1215","description":"DOC MED RSN FOR NOT DOC  and  REVIEWING SP RESULTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DOC  and  REVIEWING SP RESULTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1215","description":"DOC MED RSN FOR NOT DOC  and  REVIEWING SP RESULTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NO 2ND RZV DUR PER PRD D/T REC 2-6 MO B/W DS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1238","description":"DOC NO 2ND RZV DUR PER PRD D/T REC 2-6 MO B/W DS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NO 2ND RZV DUR PER PRD D/T REC 2-6 MO B/W DS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1238","description":"DOC NO 2ND RZV DUR PER PRD D/T REC 2-6 MO B/W DS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PREG ANYTM DUR MSMT PRD PRI and INCL CURR ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1298","description":"DOC PT PREG ANYTM DUR MSMT PRD PRI and INCL CURR ENC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PREG ANYTM DUR MSMT PRD PRI and INCL CURR ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1298","description":"DOC PT PREG ANYTM DUR MSMT PRD PRI and INCL CURR ENC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 FOR NOT DOC  and  REV SPIROMETRY RSLTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1217","description":"DOC SYS RSN FOR NOT DOC  and  REV SPIROMETRY RSLTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 FOR NOT DOC  and  REV SPIROMETRY RSLTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1217","description":"DOC SYS RSN FOR NOT DOC  and  REV SPIROMETRY RSLTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RPRT HCV AB/HCV RNA TST OCRD PRI PER PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1235","description":"DOC/PT RPRT HCV AB/HCV RNA TST OCRD PRI PER PRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RPRT HCV AB/HCV RNA TST OCRD PRI PER PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1235","description":"DOC/PT RPRT HCV AB/HCV RNA TST OCRD PRI PER PRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCKING STATION ORAL DVC/APPL TO RDC UPR AW COLL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1037","description":"DOCKING STATION ORAL DVC/APPL TO RDC UPR AW COLL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PATIENT RSN FOR NO F/U EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1330","description":"DOCUMENTATION OF PATIENT RSN FOR NO F/U EXAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PATIENT RSN FOR NO F/U EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1330","description":"DOCUMENTATION OF PATIENT RSN FOR NO F/U EXAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 REASON NO FOLLOW UP EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1335","description":"DOCUMENTATION PATIENT REASON NO FOLLOW UP EXAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 REASON NO FOLLOW UP EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1335","description":"DOCUMENTATION PATIENT REASON NO FOLLOW UP EXAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RCVD/CURRENT RCVG PALLIATIVE/HC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1307","description":"DOCUMENTATION PT RCVD/CURRENT RCVG PALLIATIVE/HC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RCVD/CURRENT RCVG PALLIATIVE/HC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1307","description":"DOCUMENTATION PT RCVD/CURRENT RCVG PALLIATIVE/HC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RSN NOT SCR/RECOM A F/U FOR HIGH BP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1288","description":"DOCUMENTED RSN NOT SCR/RECOM A F/U FOR HIGH BP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RSN NOT SCR/RECOM A F/U FOR HIGH BP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1288","description":"DOCUMENTED RSN NOT SCR/RECOM A F/U FOR HIGH BP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.11,"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":"2022","billing_code":"A7016","description":"DOME and MOUTHPIECE USED W/SMALL VOLUME US NEBULIZR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DPYD GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81232","description":"DPYD GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":858.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":858.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79999.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79999.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79999.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79999.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRMABND DL N DRMABND DL  Plus /DRMABND DL X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4427","description":"DRMABND DL N DRMABND DL  Plus /DRMABND DL X PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRMABND DL N DRMABND DL  Plus /DRMABND DL X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4427","description":"DRMABND DL N DRMABND DL  Plus /DRMABND DL X PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRMABND SL N DRMABND SL  Plus /DRMABND SL X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4428","description":"DRMABND SL N DRMABND SL  Plus /DRMABND SL X PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRMABND SL N DRMABND SL  Plus /DRMABND SL X PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4428","description":"DRMABND SL N DRMABND SL  Plus /DRMABND SL X PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"DRO SYNDROS 0.1 MG ORAL FDA-APRVD RX ANTI-EMETIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0155","description":"DRO SYNDROS 0.1 MG ORAL FDA-APRVD RX ANTI-EMETIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRO SYNDROS 0.1 MG ORAL FDA-APRVD RX ANTI-EMETIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0155","description":"DRO SYNDROS 0.1 MG ORAL FDA-APRVD RX ANTI-EMETIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY ACETAMINOPHEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80143","description":"DRUG ASSAY ACETAMINOPHEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY ADALIMUMAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80145","description":"DRUG ASSAY ADALIMUMAB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY AMIODARONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80151","description":"DRUG ASSAY AMIODARONE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CAFFEINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80155","description":"DRUG ASSAY CAFFEINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CARBAMAZEPINE -10,11-EPOXIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80161","description":"DRUG ASSAY CARBAMAZEPINE -10,11-EPOXIDE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CLOZAPINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80159","description":"DRUG ASSAY CLOZAPINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY EVEROLIMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80169","description":"DRUG ASSAY EVEROLIMUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY FELBAMATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80167","description":"DRUG ASSAY FELBAMATE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY FLECAINIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80181","description":"DRUG ASSAY FLECAINIDE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY HYDROXYCHLOROQUINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80220","description":"DRUG ASSAY HYDROXYCHLOROQUINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY INFLIXIMAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80230","description":"DRUG ASSAY INFLIXIMAB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY ITRACONAZOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80189","description":"DRUG ASSAY ITRACONAZOLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY LACOSAMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80235","description":"DRUG ASSAY LACOSAMIDE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY LEFLUNOMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80193","description":"DRUG ASSAY LEFLUNOMIDE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY METHOTREXATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80204","description":"DRUG ASSAY METHOTREXATE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY POSACONAZOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80187","description":"DRUG ASSAY POSACONAZOLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY RUFINAMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80210","description":"DRUG ASSAY RUFINAMIDE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY SALICYLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80179","description":"DRUG ASSAY SALICYLATE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY VEDOLIZUMAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80280","description":"DRUG ASSAY VEDOLIZUMAB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY VORICONAZOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80285","description":"DRUG ASSAY VORICONAZOLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80165","description":"DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE DIGOXIN FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80163","description":"DRUG SCREEN QUANTITATIVE DIGOXIN FREE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE GABAPENTIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80171","description":"DRUG SCREEN QUANTITATIVE GABAPENTIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE LAMOTRIGINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80175","description":"DRUG SCREEN QUANTITATIVE LAMOTRIGINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE LEVETIRACETAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80177","description":"DRUG SCREEN QUANTITATIVE LEVETIRACETAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE MYCOPHENOLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80180","description":"DRUG SCREEN QUANTITATIVE MYCOPHENOLATE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE OXCARBAZEPINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80183","description":"DRUG SCREEN QUANTITATIVE OXCARBAZEPINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE TIAGABINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80199","description":"DRUG SCREEN QUANTITATIVE TIAGABINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE ZONISAMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80203","description":"DRUG SCREEN QUANTITATIVE ZONISAMIDE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0480","description":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0480","description":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 15-21 DR CL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0482","description":"DRUG TEST DEFINITV DR ID METH P DAY 15-21 DR CL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0481","description":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0481","description":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80305","description":"DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80305","description":"DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TST DEFINITV DR ID METH P DAY 22/MORE DR CL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0483","description":"DRUG TST DEFINITV DR ID METH P DAY 22/MORE DR CL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80307","description":"DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TST PRSMV READ INSTRMNT ASSTD DIR OPT OBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80306","description":"DRUG TST PRSMV READ INSTRMNT ASSTD DIR OPT OBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TST PRSMV READ INSTRMNT ASSTD DIR OPT OBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80306","description":"DRUG TST PRSMV READ INSTRMNT ASSTD DIR OPT OBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.0,"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":null,"billing_code":"4014F","description":"DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":310.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":480.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":355.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":355.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.561,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":355.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":310.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":480.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":310.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":480.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":403.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":475.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":490.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":403.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":403.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":475.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":490.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54055","description":"DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54055","description":"DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54057","description":"DSTRJ LESION PENIS SIMPLE LASER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PENIS SIMPLE LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54057","description":"DSTRJ LESION PENIS SIMPLE LASER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":634.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":747.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":634.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":747.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":747.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":358.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":421.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":446.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":358.649,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":421.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":446.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":183.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":183.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUAL LAYER AMNIO BURGEON X MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4366","description":"DUAL LAYER AMNIO BURGEON X MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUAL LAYER AMNIO BURGEON X MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4366","description":"DUAL LAYER AMNIO BURGEON X MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUAL LAYER IMPAX MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4262","description":"DUAL LAYER IMPAX MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUAL LAYER IMPAX MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4262","description":"DUAL LAYER IMPAX MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOAMNION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4327","description":"DUOAMNION PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOAMNION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4327","description":"DUOAMNION PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOGRAFT AA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4376","description":"DUOGRAFT AA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOGRAFT AA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4376","description":"DUOGRAFT AA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOGRAFT AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4375","description":"DUOGRAFT AC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOGRAFT AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4375","description":"DUOGRAFT AC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL BI STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93985","description":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL BI STD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL BI STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93985","description":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL BI STD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL UNI STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93986","description":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL UNI STD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL UNI STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93986","description":"DUPLEX SCAN ARTL INFL and VEN O/F HEMO COMPL UNI STD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURABLE MEDICAL EQUIPMENT MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1399","description":"DURABLE MEDICAL EQUIPMENT MISCELLANEOUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"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":null,"billing_code":"4256F","description":"DURATION GEN NEUR ANESTH  LT 60 MIN DOCD RECORD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ALY PRGRMG and VERIF AUD OI SOUND PROCESSR 1ST 60","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92622","description":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR 1ST 60","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR 1ST 60","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92622","description":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR 1ST 60","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR EA ADL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92623","description":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR EA ADL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR EA ADL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92623","description":"DX ALY PRGRMG and VERIF AUD OI SOUND PROCESSR EA ADL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STD 1 OR GT  AXL SKEL W/VRT FX ASSMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77085","description":"DXA BONE DENSITY STD 1 OR GT  AXL SKEL W/VRT FX ASSMT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STD 1 OR GT  AXL SKEL W/VRT FX ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77085","description":"DXA BONE DENSITY STD 1 OR GT  AXL SKEL W/VRT FX ASSMT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY AXIAL SKELETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77085","description":"DXA BONE DENSITY STUDY AXIAL SKELETON","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1369.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1369.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1369.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1369.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1369.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1369.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3652.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3652.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3652.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3652.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1392.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1392.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1392.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1392.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1392.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1392.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":427.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4277.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4277.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":427.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4277.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4277.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ANKLE EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1822","description":"DYNAMIC ADJUSTABLE ANKLE EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ANKLE FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1823","description":"DYNAMIC ADJUSTABLE ANKLE FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ELBOW EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1803","description":"DYNAMIC ADJUSTABLE ELBOW EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1369.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1369.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ELBOW FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1804","description":"DYNAMIC ADJUSTABLE ELBOW FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1369.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1369.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE FINGER EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1826","description":"DYNAMIC ADJUSTABLE FINGER EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE FINGER FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1827","description":"DYNAMIC ADJUSTABLE FINGER FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE KNEE EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1813","description":"DYNAMIC ADJUSTABLE KNEE EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1392.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1392.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE KNEE FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1814","description":"DYNAMIC ADJUSTABLE KNEE FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1392.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1392.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE TOE EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1828","description":"DYNAMIC ADJUSTABLE TOE EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE TOE FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1829","description":"DYNAMIC ADJUSTABLE TOE FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE WRIST EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1807","description":"DYNAMIC ADJUSTABLE WRIST EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE WRIST FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1808","description":"DYNAMIC ADJUSTABLE WRIST FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1412.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1412.32,"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":null,"billing_code":"6010F","description":"DYSPHAGIA SCREENING PRIOR ORAL INTAKE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Daily Living Visit","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Z8002","description":"Daily Living Visit","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Dispensing fee binaural","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5160","description":"Dispensing fee binaural","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":305.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"E-GRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4318","description":"E-GRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"E-GRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4318","description":"E-GRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR IMPRESSION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5275","description":"EAR IMPRESSION EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR IMPRESSION EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5275","description":"EAR IMPRESSION EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR MOLD/INSERT DISPOSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5265","description":"EAR MOLD/INSERT DISPOSABLE ANY TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR MOLD/INSERT DISPOSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5265","description":"EAR MOLD/INSERT DISPOSABLE ANY TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR MOLD/INSERT NOT DISPOSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5264","description":"EAR MOLD/INSERT NOT DISPOSABLE ANY TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR MOLD/INSERT NOT DISPOSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5264","description":"EAR MOLD/INSERT NOT DISPOSABLE ANY TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.9,"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":"2022","billing_code":"93010","description":"ECG ROUTINE ECG W/LEAST 12 LDS I and R ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I AND R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93315","description":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I AND R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93315","description":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I AND R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP AND REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93317","description":"ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP AND REPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":168.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP AND REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93317","description":"ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP AND REPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":168.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33949","description":"ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.9365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33949","description":"ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.9365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.9365,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33948","description":"ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33948","description":"ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.991,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33964","description":"ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS  and  OLDER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":390.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":459.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33964","description":"ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS  and  OLDER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":390.864,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":459.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INITIATION VENO-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33947","description":"ECMO/ECLS INITIATION VENO-ARTERIAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INITIATION VENO-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33947","description":"ECMO/ECLS INITIATION VENO-ARTERIAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.408,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INITIATION VENO-VENOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33946","description":"ECMO/ECLS INITIATION VENO-VENOUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INITIATION VENO-VENOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33946","description":"ECMO/ECLS INITIATION VENO-VENOUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.824,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33956","description":"ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":583.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":686.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33956","description":"ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":583.5165,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":686.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33955","description":"ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":615.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":723.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33955","description":"ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":615.2555,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":723.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33954","description":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER OPEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":358.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33954","description":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER OPEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":358.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33952","description":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER PERQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":273.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":322.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33952","description":"ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS and OLDER PERQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":273.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":322.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33953","description":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":313.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":368.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33953","description":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":313.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":368.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33951","description":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":281.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":330.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33951","description":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":281.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":330.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33985","description":"ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":436.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":513.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33985","description":"ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":436.696,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":513.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33963","description":"ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":384.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":452.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33963","description":"ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":384.948,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":452.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33957","description":"ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33957","description":"ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33962","description":"ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33962","description":"ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33959","description":"ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33959","description":"ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33958","description":"ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33958","description":"ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33986","description":"ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":417.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":491.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33986","description":"ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":417.469,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":491.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33969","description":"ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33969","description":"ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33965","description":"ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33965","description":"ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33966","description":"ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":239.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33966","description":"ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":239.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33984","description":"ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.6985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":271.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33984","description":"ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS  and  OLDER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.6985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.6985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":271.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECOG IMPLANTED BRAIN NPGT W/REC I and R  LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95836","description":"ECOG IMPLANTED BRAIN NPGT W/REC I and R  LT 30 DAYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECOG IMPLANTED BRAIN NPGT W/REC I and R  LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95836","description":"ECOG IMPLANTED BRAIN NPGT W/REC I and R  LT 30 DAYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION AND TRAINING SELF-MGMT NONPHYS 1 PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98960","description":"EDUCATION AND TRAINING SELF-MGMT NONPHYS 1 PT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION AND TRAINING SELF-MGMT NONPHYS 2-4 PTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98961","description":"EDUCATION AND TRAINING SELF-MGMT NONPHYS 2-4 PTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION AND TRAINING SELF-MGMT NONPHYS 5-8 PTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98962","description":"EDUCATION AND TRAINING SELF-MGMT NONPHYS 5-8 PTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION and TRAINING PT SELF-MGMT NQHP 2-4 PTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98961","description":"EDUCATION and TRAINING PT SELF-MGMT NQHP 2-4 PTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION and TRAINING PT SELF-MGMT NQHP 2-4 PTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98961","description":"EDUCATION and TRAINING PT SELF-MGMT NQHP 2-4 PTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION and TRAINING PT SELF-MGMT NQHP 5-8 PTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98962","description":"EDUCATION and TRAINING PT SELF-MGMT NQHP 5-8 PTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION and TRAINING PT SELF-MGMT NQHP 5-8 PTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98962","description":"EDUCATION and TRAINING PT SELF-MGMT NQHP 5-8 PTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION and TRAINING PT SELF-MGMT NQHP INDIV PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98960","description":"EDUCATION and TRAINING PT SELF-MGMT NQHP INDIV PT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION and TRAINING PT SELF-MGMT NQHP INDIV PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98960","description":"EDUCATION and TRAINING PT SELF-MGMT NQHP INDIV PT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATIONAL SUPPLIES PRV BY THE PHYS AT COST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99071","description":"EDUCATIONAL SUPPLIES PRV BY THE PHYS AT COST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATIONAL SUPPLIES PRV BY THE PHYS AT COST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99071","description":"EDUCATIONAL SUPPLIES PRV BY THE PHYS AT COST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/O VIDEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95721","description":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/O VIDEO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/O VIDEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95721","description":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/O VIDEO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95722","description":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/VEEG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":168.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95722","description":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/VEEG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":168.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/O VIDEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95723","description":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/O VIDEO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/O VIDEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95723","description":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/O VIDEO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95724","description":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/VEEG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":215.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":253.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":258.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95724","description":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/VEEG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":215.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":253.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":258.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95726","description":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/VEEG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":272.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":321.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95726","description":"EEG COMPLETE STD PHYS/QHP GT 84 HR W/VEEG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":272.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":321.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95700","description":"EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95700","description":"EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95720","description":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR W/VEEG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95720","description":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR W/VEEG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR WO VID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95719","description":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR WO VID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR WO VID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95719","description":"EEG PHYS/QHP EA INCR GT 12HR LT 26HR AFTER 24HR WO VID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95709","description":"EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":550.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":647.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95709","description":"EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":550.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":647.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":647.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95708","description":"EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95708","description":"EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95710","description":"EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":728.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":857.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95710","description":"EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":728.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":728.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":857.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":857.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95706","description":"EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":323.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95706","description":"EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":323.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95705","description":"EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95705","description":"EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95707","description":"EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":366.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":431.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95707","description":"EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":366.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":431.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD ABLATE TUMOR POLYP/LESION W/DILATION and  WIRE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43270","description":"EGD ABLATE TUMOR POLYP/LESION W/DILATION and  WIRE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":554.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD ABLATE TUMOR POLYP/LESION W/DILATION and  WIRE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43270","description":"EGD ABLATE TUMOR POLYP/LESION W/DILATION and  WIRE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.8455,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":554.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":590.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":590.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":590.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":175.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":175.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":320.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":320.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD ENDOSCOPIC STENT PLACEMENT W/WIRE and  DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43266","description":"EGD ENDOSCOPIC STENT PLACEMENT W/WIRE and  DILATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD ENDOSCOPIC STENT PLACEMENT W/WIRE and  DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43266","description":"EGD ENDOSCOPIC STENT PLACEMENT W/WIRE and  DILATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43233","description":"EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43233","description":"EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLX TRNSORL W/DPLMNT NTRGSTR BARIATRIC BALO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43290","description":"EGD FLX TRNSORL W/DPLMNT NTRGSTR BARIATRIC BALO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1959.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1959.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLX TRNSORL W/DPLMNT NTRGSTR BARIATRIC BALO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43290","description":"EGD FLX TRNSORL W/DPLMNT NTRGSTR BARIATRIC BALO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1959.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1959.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLX TRNSORL W/RMVL NTRGSTR BARIATRIC BALO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43291","description":"EGD FLX TRNSORL W/RMVL NTRGSTR BARIATRIC BALO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":342.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLX TRNSORL W/RMVL NTRGSTR BARIATRIC BALO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43291","description":"EGD FLX TRNSORL W/RMVL NTRGSTR BARIATRIC BALO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":342.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":219.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":219.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43210","description":"EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":347.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43210","description":"EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":347.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.887,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":264.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":264.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":281.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":281.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":337.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":337.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGFR GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81235","description":"EGFR GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELASTASE PANCREATIC FECAL QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82653","description":"ELASTASE PANCREATIC FECAL QUANTITATIVE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2888.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2888.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2093.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2093.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10754.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10754.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2276.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2276.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9705.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9705.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":285.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB OTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3761","description":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB OTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":247.22,"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":null,"billing_code":"G8734","description":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BRN NPGT PRGRMG 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95983","description":"ELEC ALYS IMPLT BRN NPGT PRGRMG 1ST 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT BRN NPGT PRGRMG 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95983","description":"ELEC ALYS IMPLT BRN NPGT PRGRMG 1ST 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT BRN NPGT PRGRMG EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95984","description":"ELEC ALYS IMPLT BRN NPGT PRGRMG EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT BRN NPGT PRGRMG EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95984","description":"ELEC ALYS IMPLT BRN NPGT PRGRMG EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT CPLX CN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95977","description":"ELEC ALYS IMPLT CPLX CN NPGT PRGRMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT CPLX CN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95977","description":"ELEC ALYS IMPLT CPLX CN NPGT PRGRMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.26,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.55,"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":"2022","billing_code":"95972","description":"ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT SMPL CN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95976","description":"ELEC ALYS IMPLT SMPL CN NPGT PRGRMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT SMPL CN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95976","description":"ELEC ALYS IMPLT SMPL CN NPGT PRGRMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7650.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7650.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6158.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6158.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8493.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8493.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8875.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8875.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35179.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35179.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37769.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37769.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22521.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22521.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1551.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1551.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC POSITIONAL OSA TX W/SENSOR ALL COMP ACC ANY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0530","description":"ELEC POSITIONAL OSA TX W/SENSOR ALL COMP ACC ANY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":291.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12850.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12850.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128508.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128508.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.45,"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":null,"billing_code":"G9355","description":"ELECTIVE DELIVERY C-BIRTH/INDUCTION LBR NOT PERF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5802.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5802.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3349.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3349.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3622.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3622.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCOCHLEOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92584","description":"ELECTROCOCHLEOGRAPHY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCOCHLEOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92584","description":"ELECTROCOCHLEOGRAPHY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRODE FOR EXTERNAL LW EXTREMITY NRV STIM RLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4544","description":"ELECTRODE FOR EXTERNAL LW EXTREMITY NRV STIM RLS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRODE FOR EXTERNAL LW EXTREMITY NRV STIM RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4544","description":"ELECTRODE FOR EXTERNAL LW EXTREMITY NRV STIM RLS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROEJACULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55870","description":"ELECTROEJACULATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.5697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.5697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":115.0127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":115.0127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":150.6047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":150.6047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROEJACULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55870","description":"ELECTROEJACULATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.5697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.5697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":115.0127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":115.0127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":150.6047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":150.6047,"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":null,"billing_code":"3650F","description":"ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.47,"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":"2022","billing_code":"95822","description":"ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5863.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5863.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC WRIST ROTATOR ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7259","description":"ELECTRONIC WRIST ROTATOR ANY TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3995.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3995.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEV/HYP BP RDG DOC INDIC F/U NOT DOC NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1279","description":"ELEV/HYP BP RDG DOC INDIC F/U NOT DOC NO RSN GVN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEV/HYP BP RDG DOC INDIC F/U NOT DOC NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1279","description":"ELEV/HYP BP RDG DOC INDIC F/U NOT DOC NO RSN GVN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0513F","description":"ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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/HYP BP READING DOC  and  INDIC F/U IS DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1278","description":"ELEVATED/HYP BP READING DOC  and  INDIC F/U IS DOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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/HYP BP READING DOC  and  INDIC F/U IS DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1278","description":"ELEVATED/HYP BP READING DOC  and  INDIC F/U IS DOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.4,"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":null,"billing_code":"G8427","description":"ELIG CLIN ATTSTS DOC M REC OBTD UPD/REV PT  MEDS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8535","description":"EM SCR NOT DOC-DOC PT NOT ELIG EM SCR TIME ENCTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":492.23,"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":"2022","billing_code":"34101","description":"EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":492.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":636.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":636.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":577.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":577.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":606.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":606.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":871.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":871.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":871.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":871.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":441.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":441.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBOLI DETCJ W/O IV MBUBB NJX TCD ICR ART COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93897","description":"EMBOLI DETCJ W/O IV MBUBB NJX TCD ICR ART COMPL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBOLI DETCJ W/O IV MBUBB NJX TCD ICR ART COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93897","description":"EMBOLI DETCJ W/O IV MBUBB NJX TCD ICR ART COMPL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.05,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1041.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1041.94,"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":"2022","billing_code":"Q0491","description":"EMERG POWER SRC FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1041.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1041.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":239.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":239.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4297","description":"EMERGE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4297","description":"EMERGE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":662.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":662.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.75,"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":"2022","billing_code":"51784","description":"EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMTRICITABINE 200MG AND TFV AF 25MG ORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0751","description":"EMTRICITABINE 200MG AND TFV AF 25MG ORAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMTRICITABINE 200MG AND TFV AF 25MG ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0751","description":"EMTRICITABINE 200MG AND TFV AF 25MG ORAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMTRICITABINE 200MG AND TFV DF 300MG ORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0750","description":"EMTRICITABINE 200MG AND TFV DF 300MG ORAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMTRICITABINE 200MG AND TFV DF 300MG ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0750","description":"EMTRICITABINE 200MG AND TFV DF 300MG ORAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENCLOSE TL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4351","description":"ENCLOSE TL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENCLOSE TL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4351","description":"ENCLOSE TL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47543","description":"ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":415.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47543","description":"ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":415.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL CORONARY IVUS OCT I AND R ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92979","description":"ENDOLUMINAL CORONARY IVUS OCT I AND R ADDL VESSEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL CORONARY IVUS OCT I AND R ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92979","description":"ENDOLUMINAL CORONARY IVUS OCT I AND R ADDL VESSEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL CORONARY IVUS OCT I AND R INITIAL VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92978","description":"ENDOLUMINAL CORONARY IVUS OCT I AND R INITIAL VESSEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL CORONARY IVUS OCT I AND R INITIAL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92978","description":"ENDOLUMINAL CORONARY IVUS OCT I AND R INITIAL VESSEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.983,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.32,"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":null,"billing_code":"G9823","description":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX  and  RSLT DC 12M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":344.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":344.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMYSIAL ANTIBODY EACH IMMUNOGLOBULIN CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86231","description":"ENDOMYSIAL ANTIBODY EACH IMMUNOGLOBULIN CLASS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC HARVEST UXTR ARTERY 1 SEGMENT CAB PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33509","description":"ENDOSCOPIC HARVEST UXTR ARTERY 1 SEGMENT CAB PX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC HARVEST UXTR ARTERY 1 SEGMENT CAB PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33509","description":"ENDOSCOPIC HARVEST UXTR ARTERY 1 SEGMENT CAB PX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16570.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16570.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSKEL KN SHIN SGL AX ELMCH SW  and  ST PHS CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5827","description":"ENDOSKEL KN SHIN SGL AX ELMCH SW  and  ST PHS CNTRL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6500.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6500.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36482","description":"ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1595.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1595.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36482","description":"ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1595.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1595.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36483","description":"ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36483","description":"ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1053.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1053.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1053.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1155.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1155.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":271.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1155.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1155.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.4945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":271.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":272.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.3295,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":272.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENEMA BAG WITH TUBING REUSABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4458","description":"ENEMA BAG WITH TUBING REUSABLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENEMA BAG WITH TUBING REUSABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4458","description":"ENEMA BAG WITH TUBING REUSABLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENEMA TUBE W/WO ADAPTER ANY TYPE REPLAC ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4457","description":"ENEMA TUBE W/WO ADAPTER ANY TYPE REPLAC ONLY EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENEMA TUBE W/WO ADAPTER ANY TYPE REPLAC ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4457","description":"ENEMA TUBE W/WO ADAPTER ANY TYPE REPLAC ONLY EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENLARGEMENT OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2625","description":"ENLARGEMENT OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":473.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENLARGEMENT OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2625","description":"ENLARGEMENT OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":473.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENSIFENTRINE INH SUSP FDA-APPD PROD NONCMPD 3 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7601","description":"ENSIFENTRINE INH SUSP FDA-APPD PROD NONCMPD 3 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENSIFENTRINE INH SUSP FDA-APPD PROD NONCMPD 3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7601","description":"ENSIFENTRINE INH SUSP FDA-APPD PROD NONCMPD 3 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERAL FEEDING SPLY KIT; ELASTOMERC CTRL FED PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4148","description":"ENTERAL FEEDING SPLY KIT; ELASTOMERC CTRL FED PD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERAL FEEDING SUPPLY KIT; GRAVITY FED PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4036","description":"ENTERAL FEEDING SUPPLY KIT; GRAVITY FED PER DAY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERAL FEEDING SUPPLY KIT; PUMP FED PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4035","description":"ENTERAL FEEDING SUPPLY KIT; PUMP FED PER DAY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERAL FEEDING SUPPLY KIT; SYRINGE FED PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4034","description":"ENTERAL FEEDING SUPPLY KIT; SYRINGE FED PER DAY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERAL NUTRITION INFUSION PUMP ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B9002","description":"ENTERAL NUTRITION INFUSION PUMP ANY TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":679.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":679.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F MANF BLNDRIZD NAT FOODS W/NUTRIENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4149","description":"ENTRAL F MANF BLNDRIZD NAT FOODS W/NUTRIENTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F NUTRITION CMPL CAL DENSE INTACT NUTRNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4152","description":"ENTRAL F NUTRITION CMPL CAL DENSE INTACT NUTRNTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F NUTRITION CMPL NO INHERITED DZ METAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4154","description":"ENTRAL F NUTRITION CMPL NO INHERITED DZ METAB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F NUTRITIONALLY CMPL W/INTACT NUTRIENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4150","description":"ENTRAL F NUTRITIONALLY CMPL W/INTACT NUTRIENTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F NUTRITIONALLY INCMPL/MODULAR NUTRIENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4155","description":"ENTRAL F NUTRITIONALLY INCMPL/MODULAR NUTRIENTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F PED NUTRITION CMPL CAL DENSE NUTRNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4160","description":"ENTRAL F PED NUTRITION CMPL CAL DENSE NUTRNTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL FORMULA ADLT REPL FLS and LYTES 500 ML  Equal to  1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4102","description":"ENTRAL FORMULA ADLT REPL FLS and LYTES 500 ML  Equal to  1","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL FORMULA NUTIONALLY CMPL HYDROLYZED PROTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4153","description":"ENTRAL FORMULA NUTIONALLY CMPL HYDROLYZED PROTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL FORMULA PED REPL FLS and LYTES 500 ML  Equal to  1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4103","description":"ENTRAL FORMULA PED REPL FLS and LYTES 500 ML  Equal to  1","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":683.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":683.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENVERSE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4258","description":"ENVERSE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENVERSE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4258","description":"ENVERSE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":624.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":526.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":397.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.81,"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":null,"billing_code":"G9703","description":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPICORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4187","description":"EPICORD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPICORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4187","description":"EPICORD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":352.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":414.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":557.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":352.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":414.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":557.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":352.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":414.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":557.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":381.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":591.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":381.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":591.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":381.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":591.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIEFFECT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4278","description":"EPIEFFECT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIEFFECT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4278","description":"EPIEFFECT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX INJECTABLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4145","description":"EPIFIX INJECTABLE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX INJECTABLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4145","description":"EPIFIX INJECTABLE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4186","description":"EPIFIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4186","description":"EPIFIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIGLOTTIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31420","description":"EPIGLOTTIDECTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":555.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIGLOTTIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31420","description":"EPIGLOTTIDECTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":555.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":555.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPILEPSY GENOMIC SEQUENCE ANALYSIS PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81419","description":"EPILEPSY GENOMIC SEQUENCE ANALYSIS PANEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1836.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1836.42,"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":null,"billing_code":"4330F","description":"EPILEPSY SPECIFIC SAFETY COUNSELING TO PATIENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"1137F","description":"EPISODE BACK PAIN LASTING  GT 12 WKS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIXPRESS PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4361","description":"EPIXPRESS PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIXPRESS PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4361","description":"EPIXPRESS PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":294.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":294.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":373.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":373.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":314.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":369.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":314.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":369.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO A PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4272","description":"ESANO A PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO A PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4272","description":"ESANO A PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AAA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4273","description":"ESANO AAA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AAA, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4273","description":"ESANO AAA, PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AAA, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4273","description":"ESANO AAA, PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4274","description":"ESANO AC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AC, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4274","description":"ESANO AC, PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AC, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4274","description":"ESANO AC, PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4275","description":"ESANO ACA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4275","description":"ESANO ACA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESKETAMINE NASAL SPRAY 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0013","description":"ESKETAMINE NASAL SPRAY 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESKETAMINE NASAL SPRAY 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0013","description":"ESKETAMINE NASAL SPRAY 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.83,"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":null,"billing_code":"3126F","description":"ESOPH BX RPRT W/DYSPLAS INFO AND APPROP GRADING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43287","description":"ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2911.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2911.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43287","description":"ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2911.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2911.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43286","description":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2547.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2547.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43286","description":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2547.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2547.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43288","description":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3037.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3037.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43288","description":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3037.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3037.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":769.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":769.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43214","description":"ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43214","description":"ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":489.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":489.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43229","description":"ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":554.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43229","description":"ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.765,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":554.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.727,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43211","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43211","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43213","description":"ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":935.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43213","description":"ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.9505,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":935.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43212","description":"ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43212","description":"ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.8595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":219.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.8595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.8595,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":219.75,"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":null,"billing_code":"G9013","description":"ESRD DEMO BASIC BUNDLE LEVEL I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.11,"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":null,"billing_code":"3316F","description":"ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETHINYL ESTRAD and ETONOG 0.015 0.12MG/24H M VAG RNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7295","description":"ETHINYL ESTRAD and ETONOG 0.015 0.12MG/24H M VAG RNG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETHINYL ESTRAD and ETONOG 0.015 0.12MG/24H M VAG RNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7295","description":"ETHINYL ESTRAD and ETONOG 0.015 0.12MG/24H M VAG RNG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":520.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":520.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":324.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":324.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":373.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":439.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":373.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":439.35,"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":null,"billing_code":"1205F","description":"ETIOLOGY OF EPILEPSY SYNDROME RVWD  AND  DOCD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL  AND  SPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7307","description":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL  AND  SPL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1364.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1364.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL  AND  SPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7307","description":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL  AND  SPL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1364.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1364.64,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92618","description":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92618","description":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV F2F 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92605","description":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV F2F 1ST HR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV F2F 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92605","description":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV F2F 1ST HR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92523","description":"EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92523","description":"EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.75,"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":null,"billing_code":"G9156","description":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92521","description":"EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92521","description":"EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92522","description":"EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92522","description":"EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61650","description":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":457.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61650","description":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":457.11,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.15,"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":"2022","billing_code":"34808","description":"EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34701","description":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1005.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34701","description":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1005.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1005.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34702","description":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1503.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1503.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34702","description":"EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1503.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1503.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34705","description":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1248.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1248.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34705","description":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1248.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1248.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34706","description":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1880.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1880.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34706","description":"EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1880.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1880.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34703","description":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1133.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1133.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34703","description":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1133.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1133.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34704","description":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1887.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1887.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34704","description":"EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1887.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1887.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34707","description":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":938.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":938.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34707","description":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":938.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":938.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34708","description":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1511.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1511.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34708","description":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1511.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1511.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1375.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1375.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1180.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1180.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34718","description":"EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1027.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34718","description":"EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1027.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1027.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34717","description":"EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":369.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34717","description":"EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":369.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1180.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1180.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1180.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1180.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1375.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1375.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1375.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1375.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT BRNCHD NDGFT MULTIPIECE SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33882","description":"EVASC RPR TA DPLMNT BRNCHD NDGFT MULTIPIECE SYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1389.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1389.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT BRNCHD NDGFT MULTIPIECE SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33882","description":"EVASC RPR TA DPLMNT BRNCHD NDGFT MULTIPIECE SYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1389.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1389.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC ST RPR COARCJ THRC/AA ACRS MAJ SIDE BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33894","description":"EVASC ST RPR COARCJ THRC/AA ACRS MAJ SIDE BRNCH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":645.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":759.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC ST RPR COARCJ THRC/AA ACRS MAJ SIDE BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33894","description":"EVASC ST RPR COARCJ THRC/AA ACRS MAJ SIDE BRNCH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":645.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":759.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC ST RPR COARCJ THRC/AA XCRSG MAJ SIDE BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33895","description":"EVASC ST RPR COARCJ THRC/AA XCRSG MAJ SIDE BRNCH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":513.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":604.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC ST RPR COARCJ THRC/AA XCRSG MAJ SIDE BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33895","description":"EVASC ST RPR COARCJ THRC/AA XCRSG MAJ SIDE BRNCH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":513.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":604.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVEROLIMUS ORAL 0. 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7527","description":"EVEROLIMUS ORAL 0. 25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVEROLIMUS ORAL 0. 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7527","description":"EVEROLIMUS ORAL 0. 25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVIDENCE-BASED THERAPY WAS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1227","description":"EVIDENCE-BASED THERAPY WAS PRESCRIBED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVIDENCE-BASED THERAPY WAS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1227","description":"EVIDENCE-BASED THERAPY WAS PRESCRIBED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1162.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1162.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1097.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1097.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":516.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":493.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":756.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":756.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":756.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":798.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":798.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":798.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":563.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":663.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":563.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":663.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":285.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":285.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":547.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":644.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":547.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":644.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":296.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":296.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":852.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":852.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":852.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":852.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1156.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1156.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1156.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1156.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1156.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1156.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1043.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":462.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":462.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":329.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":329.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":215.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":215.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":450.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":450.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":369.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":369.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":362.0524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":362.0524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.4134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.4134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":380.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":380.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":417.1639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":417.1639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":428.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":428.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":436.6834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":436.6834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":501.1538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":501.1538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":501.2139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":501.2139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":519.9117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":519.9117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":531.8158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":531.8158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":579.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":579.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":694.9057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":694.9057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":362.0524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":362.0524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.4134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.4134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":380.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":380.0488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":417.1639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":417.1639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":428.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":428.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":436.6834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":436.6834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":501.1538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":501.1538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":501.2139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":501.2139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":519.9117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":519.9117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":531.8158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":531.8158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":579.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":579.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":694.9057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":694.9057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":236.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":236.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":245.4766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":245.4766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":250.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":250.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":283.3332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":283.3332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":288.5637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":288.5637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":309.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":309.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":311.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":311.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.1897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.1897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":326.9013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":326.9013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":359.9281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":359.9281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":410.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":410.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":236.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":236.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":245.4766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":245.4766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":250.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":250.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":283.3332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":283.3332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":288.5637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":288.5637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":309.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":309.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":311.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":311.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.1897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.1897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":326.9013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":326.9013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":359.9281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":359.9281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":410.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":410.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":692.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":692.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC HYDROCELE SPRMATIC CORD UNI SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55500","description":"EXC HYDROCELE SPRMATIC CORD UNI SPX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":233.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":274.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC HYDROCELE SPRMATIC CORD UNI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55500","description":"EXC HYDROCELE SPRMATIC CORD UNI SPX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":233.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":274.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":145.2939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":145.2939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.9773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.9773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":149.8632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":149.8632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":194.2129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":194.2129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":203.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":203.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.4016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.4016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":211.7483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":211.7483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":213.4318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":213.4318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":226.6986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":226.6986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":272.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":272.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.4077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.4077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":145.2939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":145.2939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.9773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.9773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":149.8632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":149.8632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":194.2129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":194.2129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":203.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":203.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.4016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.4016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":211.7483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":211.7483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":213.4318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":213.4318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":226.6986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":226.6986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":272.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":272.1505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.4077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.4077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1448.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1448.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1448.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1448.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":461.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":543.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":461.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":461.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":543.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":576.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":677.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":576.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":677.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1082.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1082.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":920.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1082.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1082.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":920.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":325.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":383.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":325.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":383.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":505.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":594.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":505.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":594.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":255.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":255.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1215.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1215.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1215.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1215.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":550.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":648.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":550.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":550.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":648.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":668.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":786.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":668.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":786.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":738.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":738.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":439.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":517.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":439.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":517.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1127.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1127.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":784.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":784.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":922.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":922.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":784.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":784.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":922.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":922.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":504.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":593.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":504.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":593.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":452.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":532.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":452.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":532.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":778.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":915.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":915.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":778.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":915.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":915.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":532.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":532.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":277.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":326.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":277.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":326.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":259.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":259.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":391.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":391.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":432.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":432.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":297.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":297.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":232.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":273.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":232.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":273.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":272.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":272.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":426.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":426.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":400.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":400.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":436.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":436.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":402.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":402.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":281.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":330.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":281.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":330.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":278.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":394.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":278.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":394.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":338.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":338.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":554.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":554.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":554.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":558.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":558.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":353.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":415.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":542.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":353.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":415.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":542.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21603","description":"EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1418.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1418.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21603","description":"EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1418.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1418.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21602","description":"EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1279.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21602","description":"EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1279.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1279.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHEST WALL TUMOR INCLUDING RIBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21601","description":"EXCISION CHEST WALL TUMOR INCLUDING RIBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":958.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":958.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHEST WALL TUMOR INCLUDING RIBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21601","description":"EXCISION CHEST WALL TUMOR INCLUDING RIBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":958.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":958.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1043.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1043.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1086.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1086.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":723.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":723.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":283.3332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":283.3332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":288.5637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":288.5637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":323.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":323.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":339.5268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":339.5268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":347.1022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":347.1022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":359.9281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":359.9281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":398.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":398.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":415.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":415.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":418.6469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":418.6469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":423.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":423.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":519.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":519.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":283.3332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":283.3332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":288.5637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":288.5637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":323.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":323.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":339.5268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":339.5268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":347.1022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":347.1022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":359.9281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":359.9281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":398.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":398.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":415.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":415.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":418.6469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":418.6469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":423.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":423.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":519.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":519.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.7991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.7991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":341.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":341.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":348.8457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":348.8457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":363.3751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":363.3751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.6079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.6079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":387.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":387.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":412.3341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":412.3341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":458.5676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":458.5676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":462.5357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":462.5357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":475.3616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":475.3616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":483.8989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":483.8989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":584.8832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":584.8832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.7991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.7991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":341.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":341.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":348.8457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":348.8457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":363.3751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":363.3751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.6079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.6079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":387.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":387.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":412.3341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":412.3341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":458.5676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":458.5676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":462.5357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":462.5357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":475.3616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":475.3616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":483.8989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":483.8989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":584.8832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":584.8832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":305.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":305.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":328.8051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":328.8051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":363.3751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":363.3751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.6079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.6079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":387.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":387.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.3897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.3897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":438.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":438.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":455.3211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":455.3211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":462.5357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":462.5357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":463.8583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":463.8583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":562.9388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":562.9388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":305.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":305.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":328.8051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":328.8051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":363.3751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":363.3751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.6079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.6079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":387.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":387.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.3897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.3897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":438.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":438.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":455.3211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":455.3211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":462.5357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":462.5357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":463.8583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":463.8583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":562.9388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":562.9388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":305.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":305.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":328.8051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":328.8051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":343.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":343.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":359.5674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":359.5674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":367.1427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":367.1427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.3897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.3897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":438.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":438.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":440.5913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":440.5913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":455.3211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":455.3211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":463.8583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":463.8583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":562.9388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":562.9388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":305.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":305.7585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.7108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":328.8051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":328.8051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":343.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":343.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":359.5674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":359.5674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":367.1427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":367.1427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.3897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.3897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":438.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":438.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":440.5913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":440.5913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":455.3211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":455.3211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":463.8583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":463.8583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":562.9388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":562.9388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":452.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":532.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":452.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":532.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.7991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.7991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":341.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":341.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":348.8457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":348.8457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":363.3751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":363.3751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.6079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.6079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":387.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":387.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":412.3341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":412.3341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":458.5676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":458.5676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":462.5357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":462.5357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":475.3616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":475.3616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":483.8989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":483.8989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":584.8832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":584.8832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.7991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.7991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":341.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":341.7513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":348.8457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":348.8457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":363.3751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":363.3751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.6079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.6079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":387.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":387.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":412.3341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":412.3341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":458.5676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":458.5676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":462.5357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":462.5357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":475.3616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":475.3616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":483.8989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":483.8989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":584.8832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":584.8832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":406.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":478.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":406.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":478.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":274.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":274.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":284.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":284.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":227.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":227.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":279.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":279.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HYDROCELE BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55041","description":"EXCISION HYDROCELE BILATERAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":333.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":392.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HYDROCELE BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55041","description":"EXCISION HYDROCELE BILATERAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":333.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":392.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HYDROCELE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55040","description":"EXCISION HYDROCELE UNILATERAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":227.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":267.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HYDROCELE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55040","description":"EXCISION HYDROCELE UNILATERAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":227.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":267.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.051,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":294.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":294.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":222.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":222.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":598.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":598.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":831.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":831.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":576.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":673.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":576.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":673.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":255.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":404.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":255.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":404.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":232.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":329.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":232.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":329.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":361.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":361.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":313.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":368.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":313.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":368.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":368.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":495.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":582.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":495.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":582.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":582.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":692.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":340.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":340.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":949.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":949.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":949.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":800.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":800.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":800.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1082.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1082.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1082.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1082.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":271.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":271.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":294.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":294.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":512.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":512.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":428.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":503.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":428.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":503.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":239.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":342.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":239.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":342.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION L ATR APPENDAGE THORACOSCOPIC ANY METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33269","description":"EXCLUSION L ATR APPENDAGE THORACOSCOPIC ANY METH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":646.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION L ATR APPENDAGE THORACOSCOPIC ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33269","description":"EXCLUSION L ATR APPENDAGE THORACOSCOPIC ANY METH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":646.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION LAA OPEN TM STRNT/THRCM ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33268","description":"EXCLUSION LAA OPEN TM STRNT/THRCM ANY METHOD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION LAA OPEN TM STRNT/THRCM ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33268","description":"EXCLUSION LAA OPEN TM STRNT/THRCM ANY METHOD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION LEFT ATRIAL APPENDAGE OPEN ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33267","description":"EXCLUSION LEFT ATRIAL APPENDAGE OPEN ANY METHOD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":819.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION LEFT ATRIAL APPENDAGE OPEN ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33267","description":"EXCLUSION LEFT ATRIAL APPENDAGE OPEN ANY METHOD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":819.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":819.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXERCISE TEST FOR BRONCHOSPASM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94617","description":"EXERCISE TEST FOR BRONCHOSPASM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXOME RE-EVAL OF PREVIOUSLY OBTAINED EXOME SEQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81417","description":"EXOME RE-EVAL OF PREVIOUSLY OBTAINED EXOME SEQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXOME SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81415","description":"EXOME SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3585.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3585.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81416","description":"EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9000.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9000.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPIRATORY PAP INTRANASAL RESISTANCE VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7049","description":"EXPIRATORY PAP INTRANASAL RESISTANCE VALVE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPIRATORY PAP INTRANASAL RESISTANCE VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7049","description":"EXPIRATORY PAP INTRANASAL RESISTANCE VALVE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":325.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":325.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":372.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":372.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35703","description":"EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":342.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35703","description":"EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":342.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35702","description":"EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":336.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35702","description":"EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":336.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":293.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":293.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":436.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":436.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXSUFFLATION BELT INCL ALL SUPL  and  ACCESSORIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4468","description":"EXSUFFLATION BELT INCL ALL SUPL  and  ACCESSORIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXSUFFLATION BELT INCL ALL SUPL  and  ACCESSORIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4468","description":"EXSUFFLATION BELT INCL ALL SUPL  and  ACCESSORIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT LE SENS PROS CUT STIM MR PROX TO ANKLE Q LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8720","description":"EXT LE SENS PROS CUT STIM MR PROX TO ANKLE Q LEG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT RCHG SYS BAT USE IM CARD CCM GEN REPLC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1030","description":"EXT RCHG SYS BAT USE IM CARD CCM GEN REPLC ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1625.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1625.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9274","description":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9274","description":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":400.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4000.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4000.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":400.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4000.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4000.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":52.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":52.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":53.4481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":53.4481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":54.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":54.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":84.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":84.7715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":52.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":52.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":53.4481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":53.4481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":54.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":54.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":84.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":84.7715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":339.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3398.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3398.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":339.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3398.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3398.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93242","description":"EXTERNAL ECG REC GT 48HR LT 7D RECORDING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93242","description":"EXTERNAL ECG REC GT 48HR LT 7D RECORDING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D REVIEW  and  INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93244","description":"EXTERNAL ECG REC GT 48HR LT 7D REVIEW  and  INTERPRETATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D REVIEW  and  INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93244","description":"EXTERNAL ECG REC GT 48HR LT 7D REVIEW  and  INTERPRETATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D SCANNING ALYS W/REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93243","description":"EXTERNAL ECG REC GT 48HR LT 7D SCANNING ALYS W/REPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D SCANNING ALYS W/REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93243","description":"EXTERNAL ECG REC GT 48HR LT 7D SCANNING ALYS W/REPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93246","description":"EXTERNAL ECG REC GT 7D LT 15D RECORDING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93246","description":"EXTERNAL ECG REC GT 7D LT 15D RECORDING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D REVIEW  and  INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93248","description":"EXTERNAL ECG REC GT 7D LT 15D REVIEW  and  INTERPRETATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D REVIEW  and  INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93248","description":"EXTERNAL ECG REC GT 7D LT 15D REVIEW  and  INTERPRETATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D SCAN ALYS REPORT R and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93245","description":"EXTERNAL ECG REC GT 7D LT 15D SCAN ALYS REPORT R and I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D SCAN ALYS REPORT R and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93245","description":"EXTERNAL ECG REC GT 7D LT 15D SCAN ALYS REPORT R and I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D SCANNING ALYS W/REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93247","description":"EXTERNAL ECG REC GT 7D LT 15D SCANNING ALYS W/REPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":168.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D SCANNING ALYS W/REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93247","description":"EXTERNAL ECG REC GT 7D LT 15D SCANNING ALYS W/REPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":168.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL LOWER EXTREMITY NERVE STIM FOR RLS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0743","description":"EXTERNAL LOWER EXTREMITY NERVE STIM FOR RLS EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1899.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1899.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL UI CATH; DISP WICKING MATL SP PER MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6590","description":"EXTERNAL UI CATH; DISP WICKING MATL SP PER MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":259.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL UI CATH; DISP WICKING MATL SP PER MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6590","description":"EXTERNAL UI CATH; DISP WICKING MATL SP PER MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":259.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL UPPER LIMB TREMOR STIM PERIPH NRV WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0734","description":"EXTERNAL UPPER LIMB TREMOR STIM PERIPH NRV WRIST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3516.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3516.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL URINARY CATH; NON-DISP SUCT PUMP PER MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6591","description":"EXTERNAL URINARY CATH; NON-DISP SUCT PUMP PER MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL URINARY CATH; NON-DISP SUCT PUMP PER MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6591","description":"EXTERNAL URINARY CATH; NON-DISP SUCT PUMP PER MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1783.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1783.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1783.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1783.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10040","description":"EXTRACTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10040","description":"EXTRACTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":925.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":925.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.46,"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":null,"billing_code":"4200F","description":"EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 VLD MTCH DX 7 STND FLD W/O EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2033F","description":"EYE IMG VLD MTCH DX 7 STND FLD W/O EVC RTNOPTHY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 VLD MTCH DX 7 STND FLD W/O EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2033F","description":"EYE IMG VLD MTCH DX 7 STND FLD W/O EVC RTNOPTHY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 STERILE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6410","description":"EYE PAD STERILE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE PATCH OCCLUSIVE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6412","description":"EYE PATCH OCCLUSIVE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE PATCH OCCLUSIVE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6412","description":"EYE PATCH OCCLUSIVE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EZH2 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81237","description":"EZH2 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EZH2 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81236","description":"EZH2 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Electrocochleography","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92584","description":"Electrocochleography","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Electroejaculation","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55870","description":"Electroejaculation","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.5697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.5697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":115.0127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":115.0127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":150.6047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":150.6047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.26,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.52,"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":"2022","billing_code":"93304","description":"F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"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":null,"billing_code":"G9345","description":"F/U REC DOC INCIDENTALLY DETECTED PULM NODULES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F2 GENE ANALYSIS 20210G  GT A VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81240","description":"F2 GENE ANALYSIS 20210G  GT A VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81241","description":"F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F9 FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81238","description":"F9 FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":450.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FABRICATION AND FITTING OF OCULAR CONFORMER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2628","description":"FABRICATION AND FITTING OF OCULAR CONFORMER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":389.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FABRICATION AND FITTING OF OCULAR CONFORMER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2628","description":"FABRICATION AND FITTING OF OCULAR CONFORMER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":389.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAC ONSITE AC TX NSG FAC RES FL/ELCT DO BILL SID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9683","description":"FAC ONSITE AC TX NSG FAC RES FL/ELCT DO BILL SID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAC ONSITE AC TX NSG FAC RES FL/ELCT DO BILL SID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9683","description":"FAC ONSITE AC TX NSG FAC RES FL/ELCT DO BILL SID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.12,"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":"2022","billing_code":"A7031","description":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.12,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE-TO-FACE BEHAV COUNSELING OBESITY GRP 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0473","description":"FACE-TO-FACE BEHAV COUNSELING OBESITY GRP 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE-TO-FACE BEHAV COUNSELING OBESITY GRP 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0473","description":"FACE-TO-FACE BEHAV COUNSELING OBESITY GRP 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIIA-JNCW 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7212","description":"FACTOR VIIA-JNCW 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIIA-JNCW 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7212","description":"FACTOR VIIA-JNCW 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.59,"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":null,"billing_code":"0518F","description":"FALLS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.26,"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":"2022","billing_code":"90846","description":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FANCC GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81242","description":"FANCC GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":266.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":266.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":249.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":330.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":249.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":330.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":477.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":561.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":477.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":561.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.9,"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":null,"billing_code":"G8542","description":"FCN OUTCOME ASMT DOC; NO DEFICT ID PLAN NOT RQR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA-APV SIG RX ONLY FOR USE HIV PRE-EXP PPX NOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0799","description":"FDA-APV SIG RX ONLY FOR USE HIV PRE-EXP PPX NOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA-APV SIG RX ONLY FOR USE HIV PRE-EXP PPX NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0799","description":"FDA-APV SIG RX ONLY FOR USE HIV PRE-EXP PPX NOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FECAL MICROBIOTA LIVE - JSLM 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1440","description":"FECAL MICROBIOTA LIVE - JSLM 1 ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FECAL MICROBIOTA LIVE - JSLM 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1440","description":"FECAL MICROBIOTA LIVE - JSLM 1 ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.63,"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":null,"billing_code":"M1016","description":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FERN TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0114","description":"FERN TEST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FERRIC CITRATE ORAL 3 MG FERRIC IRON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0609","description":"FERRIC CITRATE ORAL 3 MG FERRIC IRON","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FERRIC CITRATE ORAL 3 MG FERRIC IRON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0609","description":"FERRIC CITRATE ORAL 3 MG FERRIC IRON","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.27,"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":"2022","billing_code":"76818","description":"FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81420","description":"FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":569.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CHROMOSOMAL MICRODELTJ GENOMIC SEQ ANALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81422","description":"FETAL CHROMOSOMAL MICRODELTJ GENOMIC SEQ ANALYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":569.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74713","description":"FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74713","description":"FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74712","description":"FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":345.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74712","description":"FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":345.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILGRASTIM G-CSF, 300 MCG, INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1440","description":"FILGRASTIM G-CSF, 300 MCG, INJECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":381.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":381.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.29,"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":null,"billing_code":"G9541","description":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIMBRIOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58760","description":"FIMBRIOPLASTY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":293.2332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":293.2332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":308.3437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":308.3437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.9952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.9952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":349.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":349.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":350.8497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":350.8497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":366.2409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":366.2409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.3733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.3733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":408.4663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":408.4663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":421.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":421.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":424.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":424.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":430.7514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":430.7514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":493.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":493.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIMBRIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58760","description":"FIMBRIOPLASTY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":293.2332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":293.2332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":308.3437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":308.3437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.9952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.9952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":349.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":349.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":350.8497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":350.8497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":366.2409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":366.2409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.3733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.3733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":408.4663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":408.4663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":421.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":421.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":424.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":424.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":430.7514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":430.7514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":493.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":493.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"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":null,"billing_code":"G9637","description":"FINAL REPORT W/DOC 1/MORE DOSE REDUCTION TECH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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/CT GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10009","description":"FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10009","description":"FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10010","description":"FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10010","description":"FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10007","description":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10007","description":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10008","description":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10008","description":"FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.7,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.3045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.23,"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":"2022","billing_code":"10021","description":"FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.3045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.3045,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10004","description":"FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10004","description":"FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10005","description":"FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10005","description":"FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10006","description":"FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10006","description":"FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING/ORIENTATION/CHECKING OF HEARING AID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5011","description":"FITTING/ORIENTATION/CHECKING OF HEARING AID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING/ORIENTATION/CHECKING OF HEARING AID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5011","description":"FITTING/ORIENTATION/CHECKING OF HEARING AID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":429.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":580.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":429.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":580.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":653.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":653.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXHD ALLOPATCHHD OR MATRIX HD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4128","description":"FLEXHD ALLOPATCHHD OR MATRIX HD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXHD OR ALLOPATCHHD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4128","description":"FLEXHD OR ALLOPATCHHD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXHD OR ALLOPATCHHD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4128","description":"FLEXHD OR ALLOPATCHHD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOTUFOLASTAT F18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9608","description":"FLOTUFOLASTAT F18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":638.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOTUFOLASTAT F18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9608","description":"FLOTUFOLASTAT F18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":638.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOWERAMNIOPATCH PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4178","description":"FLOWERAMNIOPATCH PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOWERAMNIOPATCH PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4178","description":"FLOWERAMNIOPATCH PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOWERDERM PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4179","description":"FLOWERDERM PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOWERDERM PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4179","description":"FLOWERDERM PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81245","description":"FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLT3 GENE ANLYS TYROSINE KINASE DOMAIN VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81246","description":"FLT3 GENE ANLYS TYROSINE KINASE DOMAIN VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.54,"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":null,"billing_code":"4274F","description":"FLU IMMUNO ADMIND/PREVIOUSLY RCVD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9588","description":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5136.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5136.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9588","description":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5136.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5136.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUNISOLIDE INHAL COMP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7641","description":"FLUNISOLIDE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUNISOLIDE INHAL COMP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7641","description":"FLUNISOLIDE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.71,"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":"2022","billing_code":"77003","description":"FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86255","description":"FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86256","description":"FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9591","description":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4100.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4100.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9591","description":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4100.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4100.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9982","description":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28248.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28248.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9982","description":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28248.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28248.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FMR1 ANALYSIS EVAL TO DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81243","description":"FMR1 ANALYSIS EVAL TO DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FMR1 GENE ALYS EVAL TO DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81243","description":"FMR1 GENE ALYS EVAL TO DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FMR1 GENE ANALYSIS CHARACTERIZATION OF ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81244","description":"FMR1 GENE ANALYSIS CHARACTERIZATION OF ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.85,"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":"2022","billing_code":"A6210","description":"FOAM DRESS  GT  16 BUT  LT or equal to  48 SQ W/O ADHES BO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6213","description":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6213","description":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESSING WOUND FILLER STERILE PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6215","description":"FOAM DRESSING WOUND FILLER STERILE PER G","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESSING WOUND FILLER STERILE PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6215","description":"FOAM DRESSING WOUND FILLER STERILE PER G","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOCUSING ON WOMEN'S HEALTH MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1366","description":"FOCUSING ON WOMEN'S HEALTH MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOCUSING ON WOMEN'S HEALTH MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1366","description":"FOCUSING ON WOMEN'S HEALTH MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOLLICLE PUNCTURE OOCYTE RETRIEVAL ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58970","description":"FOLLICLE PUNCTURE OOCYTE RETRIEVAL ANY METHOD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":124.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":124.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":131.9068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":131.9068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":135.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":135.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":159.1219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":159.1219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOLLICLE PUNCTURE OOCYTE RETRIEVAL ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58970","description":"FOLLICLE PUNCTURE OOCYTE RETRIEVAL ANY METHOD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":124.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":124.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":131.9068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":131.9068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":135.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":135.2135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":159.1219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":159.1219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOD THICKENER ADMINISTERED ORALLY PER OUNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4100","description":"FOOD THICKENER ADMINISTERED ORALLY PER OUNCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ADDUCTUS POSITIONING DEVICE ADJUSTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3161","description":"FOOT ADDUCTUS POSITIONING DEVICE ADJUSTABLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ADJUSTABLE SHOE-STYLED POSITIONING DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3160","description":"FOOT ADJUSTABLE SHOE-STYLED POSITIONING DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.0,"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":null,"billing_code":"G9225","description":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.95,"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":"2022","billing_code":"L3020","description":"FOOT INSRT REMV MOLD PT MDL LNGTUDNL/MT SUPP EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT MOLDED SHOE PLASTAZOTE CUSTOM FITTED EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3253","description":"FOOT MOLDED SHOE PLASTAZOTE CUSTOM FITTED EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT SHOE MOLDED PATIENT MODEL SILICONE SHOE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3251","description":"FOOT SHOE MOLDED PATIENT MODEL SILICONE SHOE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT SHOE MOLDED PT MDL PLASTAZOTE CSTM FABR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3252","description":"FOOT SHOE MOLDED PT MDL PLASTAZOTE CSTM FABR EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.61,"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":null,"billing_code":"G8410","description":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.0,"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":"2022","billing_code":"A5512","description":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORCEPS ESOPHAGEAL BIOPSY PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3150F","description":"FORCEPS ESOPHAGEAL BIOPSY PERFORMED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":445.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":523.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":632.47,"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":"2022","billing_code":"15731","description":"FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":445.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":523.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":632.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORMOTEROL INHAL COMP PROD UNIT DOSE FORM 12 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7640","description":"FORMOTEROL INHAL COMP PROD UNIT DOSE FORM 12 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORMOTEROL INHAL COMP PROD UNIT DOSE FORM 12 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7640","description":"FORMOTEROL INHAL COMP PROD UNIT DOSE FORM 12 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOUNDATION DRS Plus  DUO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2041","description":"FOUNDATION DRS Plus  DUO PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOUNDATION DRS Plus  DUO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2041","description":"FOUNDATION DRS Plus  DUO PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOUNDATION DRS Plus  SOLO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2042","description":"FOUNDATION DRS Plus  SOLO PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOUNDATION DRS Plus  SOLO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2042","description":"FOUNDATION DRS Plus  SOLO PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOUNDATION DRS SOLO PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2034","description":"FOUNDATION DRS SOLO PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOUNDATION DRS SOLO PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2034","description":"FOUNDATION DRS SOLO PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2333.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2333.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2333.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2333.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":479.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":479.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":469.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":485.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":615.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":615.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":475.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":475.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1749.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1749.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1749.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1749.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1320.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1320.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1320.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1320.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1837.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1837.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1837.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1837.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2249.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2249.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2249.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2249.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2196.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2196.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2196.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2196.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2268.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2268.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2268.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2268.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1753.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1753.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1753.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1753.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":376.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":451.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":376.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":451.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":373.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":373.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":374.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":468.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":374.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":468.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":330.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":401.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":330.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":401.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FROZEN BLOOD EACH UNIT FREEZING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86930","description":"FROZEN BLOOD EACH UNIT FREEZING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FROZEN BLOOD EACH UNIT FREEZING  AND  THAWING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86932","description":"FROZEN BLOOD EACH UNIT FREEZING  AND  THAWING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FROZEN BLOOD EACH UNIT THAWING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86931","description":"FROZEN BLOOD EACH UNIT THAWING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":666.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":666.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":402.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":473.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":402.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":473.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":402.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":402.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":473.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":362.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":426.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":507.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":362.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":426.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":507.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":308.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":392.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":308.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":392.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":308.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":392.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":342.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":430.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":342.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":430.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":342.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":430.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL FIELD ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92273","description":"FULL FIELD ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL FIELD ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92273","description":"FULL FIELD ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1259.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1259.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1259.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1259.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1017.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1017.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":930.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":930.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":930.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":930.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1236.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1236.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12369.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12369.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1236.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1236.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12369.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12369.8,"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":null,"billing_code":"G8942","description":"FUNC O ASMT STDZ TL DOC PREV 30 DAYS  and  CP 2 DYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3040F","description":"FUNCTIONAL EXPIRATORY VOLUME  LT  40 PCT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FXN GENE ANALYSIS CHARACTERIZATION ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81285","description":"FXN GENE ANALYSIS CHARACTERIZATION ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FXN GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81284","description":"FXN GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FXN GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81286","description":"FXN GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FXN GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81289","description":"FXN GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.9,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Fern test","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0114","description":"Fern test","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"G4DERM PLUS AND SUPRELLO PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2037","description":"G4DERM PLUS AND SUPRELLO PER ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"G4DERM PLUS AND SUPRELLO PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2037","description":"G4DERM PLUS AND SUPRELLO PER ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"G6PC GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81250","description":"G6PC GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"G6PD GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81247","description":"G6PD GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"G6PD GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81249","description":"G6PD GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":450.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"G6PD GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81248","description":"G6PD GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":281.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAIT MODULATION SYSTEM RHYTHMIC AUDITORY STIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E3200","description":"GAIT MODULATION SYSTEM RHYTHMIC AUDITORY STIM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALECTIN-3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82777","description":"GALECTIN-3","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9587","description":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3210.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3210.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9587","description":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3210.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3210.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMETE ZYGOTE/EMBRYO FALLOPIAN TRANSFER ANY METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58976","description":"GAMETE ZYGOTE/EMBRYO FALLOPIAN TRANSFER ANY METH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":144.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":144.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":151.9474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":151.9474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":155.2541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":155.2541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":181.0663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":181.0663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMETE ZYGOTE/EMBRYO FALLOPIAN TRANSFER ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58976","description":"GAMETE ZYGOTE/EMBRYO FALLOPIAN TRANSFER ANY METH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":144.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":144.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":151.9474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":151.9474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":155.2541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":155.2541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":181.0663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":181.0663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMMAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4111","description":"GAMMAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMMAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4111","description":"GAMMAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASKET/SEAL USE PROS SOCKET INSERT ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7700","description":"GASKET/SEAL USE PROS SOCKET INSERT ANY TYPE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":579.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":579.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYING IMG STD W/SMALL BOWEL TRANSIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78265","description":"GASTRIC EMPTYING IMG STD W/SMALL BOWEL TRANSIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":263.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":292.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYING IMG STD W/SMALL BOWEL TRANSIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78265","description":"GASTRIC EMPTYING IMG STD W/SMALL BOWEL TRANSIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":263.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":292.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYNG IMAG STD W/SM BWL TRANSIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78265","description":"GASTRIC EMPTYNG IMAG STD W/SM BWL TRANSIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":263.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":292.35,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":342.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":342.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":308.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":308.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":701.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":701.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":377.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":377.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":377.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":377.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY/J-TUBE LOW-PROFILE ANY MAT/TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4088","description":"GASTROSTOMY/J-TUBE LOW-PROFILE ANY MAT/TYPE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY/J-TUBE STANDARD ANY MATERIAL/TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4087","description":"GASTROSTOMY/J-TUBE STANDARD ANY MATERIAL/TYPE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":418.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":418.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":828.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":828.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":727.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":727.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL  GT  48 SQ W/O ADHES EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6218","description":"GAUZE NON-IMPREG NONSTERL  GT  48 SQ W/O ADHES EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL  GT  48 SQ W/O ADHES EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6218","description":"GAUZE NON-IMPREG NONSTERL  GT  48 SQ W/O ADHES EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL  GT  48 SQ W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6221","description":"GAUZE NON-IMPREG STERL  GT  48 SQ W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL  GT  48 SQ W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6221","description":"GAUZE NON-IMPREG STERL  GT  48 SQ W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL  GT  48 SQ W/O ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6404","description":"GAUZE NON-IMPREG STERL  GT  48 SQ W/O ADHES BORDR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL  GT  48 SQ W/O ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6404","description":"GAUZE NON-IMPREG STERL  GT  48 SQ W/O ADHES BORDR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GBA GLUCOSIDASE/BETA/ACID ANAL COMM VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81251","description":"GBA GLUCOSIDASE/BETA/ACID ANAL COMM VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.44,"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":null,"billing_code":"3294F","description":"GBS SCRNING DOCD DONE DURING WK 35-37 GESTATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEMCITABINE INTRAVESICAL SYSTEM 225 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9183","description":"GEMCITABINE INTRAVESICAL SYSTEM 225 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73088.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73088.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEMCITABINE INTRAVESICAL SYSTEM 225 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9183","description":"GEMCITABINE INTRAVESICAL SYSTEM 225 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73088.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73088.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81450","description":"GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":569.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN SEQ ANALYS SOL ORG/HEMTOLMPHOID NEO 51 OR GT  GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81455","description":"GEN SEQ ANALYS SOL ORG/HEMTOLMPHOID NEO 51 OR GT  GEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2189.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2189.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN SEQ ANALYS SOLID ORGAN NEOPLASM 5-50 GENE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81445","description":"GEN SEQ ANALYS SOLID ORGAN NEOPLASM 5-50 GENE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":422.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENESIS AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4198","description":"GENESIS AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENESIS AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4198","description":"GENESIS AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR SEVERE INHERITED CONDITIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81443","description":"GENETIC TESTING FOR SEVERE INHERITED CONDITIONS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1836.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1836.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":546.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":546.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":546.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":410.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.5375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":271.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.5375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.5375,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":271.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":410.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":410.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME RAPID SEQ ANALYSIS EACH COMPARATOR GENOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0425U","description":"GENOME RAPID SEQ ANALYSIS EACH COMPARATOR GENOME","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3070.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3070.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME RAPID SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0094U","description":"GENOME RAPID SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5686.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5686.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME RE-EVALUATION OF PREC OBTAINED GENOME SEQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81427","description":"GENOME RE-EVALUATION OF PREC OBTAINED GENOME SEQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1753.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1753.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81425","description":"GENOME SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3773.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3773.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME SEQUENCE ANALYSIS EACH COMPARATOR GENOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81426","description":"GENOME SEQUENCE ANALYSIS EACH COMPARATOR GENOME","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2032.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2032.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME ULTRA-RAPID SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0426U","description":"GENOME ULTRA-RAPID SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5686.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5686.65,"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":null,"billing_code":"1118F","description":"GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.03,"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":"2022","billing_code":"76975","description":"GI ENDOSCOPIC US S AND I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":593.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":630.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":741.41,"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":null,"billing_code":"4017F","description":"GI PROPHYLAXIS NSAID USE PRESCRIBED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 TRACT IMAGING INTRALUMINAL COLON I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91113","description":"GI TRACT IMAGING INTRALUMINAL COLON I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRACT IMAGING INTRALUMINAL COLON I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91113","description":"GI TRACT IMAGING INTRALUMINAL COLON I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":593.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":630.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":741.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":593.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":630.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":741.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":741.41,"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":null,"billing_code":"1008F","description":"GI and RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":215.4358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":215.4358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":218.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":218.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":223.0512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":223.0512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":253.0118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":253.0118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":256.0981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":256.0981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":261.3888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":261.3888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":281.8902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":281.8902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":292.2512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":292.2512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":299.8866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":299.8866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":326.4604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":326.4604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":376.6619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":376.6619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":413.4363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":413.4363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":215.4358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":215.4358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":218.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":218.2415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":223.0512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":223.0512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":253.0118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":253.0118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":256.0981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":256.0981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":261.3888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":261.3888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":281.8902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":281.8902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":292.2512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":292.2512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":299.8866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":299.8866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":326.4604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":326.4604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":376.6619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":376.6619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":413.4363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":413.4363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GJB2 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81252","description":"GJB2 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GJB2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81253","description":"GJB2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GJB6 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81254","description":"GJB6 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLASSES AIR CONDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5070","description":"GLASSES AIR CONDUCTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLASSES AIR CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5070","description":"GLASSES AIR CONDUCTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLASSES BONE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5080","description":"GLASSES BONE CONDUCTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLASSES BONE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5080","description":"GLASSES BONE CONDUCTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"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":null,"billing_code":"0517F","description":"GLAUCOMA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"M1223","description":"GLAUCOMA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"M1223","description":"GLAUCOMA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NOT DOCUMENTED REASON NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1222","description":"GLAUCOMA PLAN OF CARE NOT DOCUMENTED REASON NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NOT DOCUMENTED REASON NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1222","description":"GLAUCOMA PLAN OF CARE NOT DOCUMENTED REASON NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86258","description":"GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOVES NON-STERILE PER 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4927","description":"GLOVES NON-STERILE PER 100","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOVES NON-STERILE PER 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4927","description":"GLOVES NON-STERILE PER 100","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOVES STERILE PER PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4930","description":"GLOVES STERILE PER PAIR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOVES STERILE PER PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4930","description":"GLOVES STERILE PER PAIR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82962","description":"GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82947","description":"GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCEMIC STS ASSMT HBA1C/GMI LVL MISS/NOT PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1212","description":"GLYCEMIC STS ASSMT HBA1C/GMI LVL MISS/NOT PERF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCEMIC STS ASSMT HBA1C/GMI LVL MISS/NOT PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1212","description":"GLYCEMIC STS ASSMT HBA1C/GMI LVL MISS/NOT PERF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7642","description":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7642","description":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7643","description":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7643","description":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"GONIOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65820","description":"GONIOTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":416.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":489.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONIOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65820","description":"GONIOTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":416.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":489.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":777.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":777.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP BDG SUP BNDG LINER LW EXT ANY SZ/LEN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6594","description":"GRAD CMP BDG SUP BNDG LINER LW EXT ANY SZ/LEN EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP BDG SUP BNDG LINER LW EXT ANY SZ/LEN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6594","description":"GRAD CMP BDG SUP BNDG LINER LW EXT ANY SZ/LEN EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP BDG SUP BNDG LINER UP EXT ANY SZ/LEN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6595","description":"GRAD CMP BDG SUP BNDG LINER UP EXT ANY SZ/LEN EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP BDG SUP BNDG LINER UP EXT ANY SZ/LEN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6595","description":"GRAD CMP BDG SUP BNDG LINER UP EXT ANY SZ/LEN EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP BDG SUP CNFRM GAUZ P/LINEAR YD ANY W EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6596","description":"GRAD CMP BDG SUP CNFRM GAUZ P/LINEAR YD ANY W EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP BDG SUP CNFRM GAUZ P/LINEAR YD ANY W EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6596","description":"GRAD CMP BDG SUP CNFRM GAUZ P/LINEAR YD ANY W EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP STCK FULL LEN/CHAP ST 40MMHG OR LT  CST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6561","description":"GRAD CMP STCK FULL LEN/CHAP ST 40MMHG OR LT  CST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP STCK FULL LEN/CHAP ST 40MMHG OR LT  CST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6561","description":"GRAD CMP STCK FULL LEN/CHAP ST 40MMHG OR LT  CST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP STCK FULL LEN/CHAP STY 18-30MMHG CST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6559","description":"GRAD CMP STCK FULL LEN/CHAP STY 18-30MMHG CST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP STCK FULL LEN/CHAP STY 18-30MMHG CST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6559","description":"GRAD CMP STCK FULL LEN/CHAP STY 18-30MMHG CST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP STCK FULL LEN/CHAP STY 30-40MMHG CST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6560","description":"GRAD CMP STCK FULL LEN/CHAP STY 30-40MMHG CST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP STCK FULL LEN/CHAP STY 30-40MMHG CST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6560","description":"GRAD CMP STCK FULL LEN/CHAP STY 30-40MMHG CST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG ROLL INELAS SHT STR P/ YRD ANY W E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6599","description":"GRAD COMP BDG ROLL INELAS SHT STR P/ YRD ANY W E","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG ROLL INELAS SHT STR P/ YRD ANY W E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6599","description":"GRAD COMP BDG ROLL INELAS SHT STR P/ YRD ANY W E","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUP HI DNS FM ROLL BDG P/Y ANY W E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6602","description":"GRAD COMP BDG SUP HI DNS FM ROLL BDG P/Y ANY W E","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUP HI DNS FM ROLL BDG P/Y ANY W E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6602","description":"GRAD COMP BDG SUP HI DNS FM ROLL BDG P/Y ANY W E","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUP LW DENS CH FM SHT P/250SQ CM E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6603","description":"GRAD COMP BDG SUP LW DENS CH FM SHT P/250SQ CM E","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUP LW DENS CH FM SHT P/250SQ CM E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6603","description":"GRAD COMP BDG SUP LW DENS CH FM SHT P/250SQ CM E","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUP LW DNS FLT FM SH P/250SQ CM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6604","description":"GRAD COMP BDG SUP LW DNS FLT FM SH P/250SQ CM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUP LW DNS FLT FM SH P/250SQ CM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6604","description":"GRAD COMP BDG SUP LW DNS FLT FM SH P/250SQ CM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUP TUB PRO ABS PD LY P/YD ANY W E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6608","description":"GRAD COMP BDG SUP TUB PRO ABS PD LY P/YD ANY W E","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUP TUB PRO ABS PD LY P/YD ANY W E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6608","description":"GRAD COMP BDG SUP TUB PRO ABS PD LY P/YD ANY W E","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUPL HIGH DENS FM PAD ANY SZ/SH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6601","description":"GRAD COMP BDG SUPL HIGH DENS FM PAD ANY SZ/SH EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUPL HIGH DENS FM PAD ANY SZ/SH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6601","description":"GRAD COMP BDG SUPL HIGH DENS FM PAD ANY SZ/SH EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUPL HIGH DENS FM SHT P/250SQ CM E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6600","description":"GRAD COMP BDG SUPL HIGH DENS FM SHT P/250SQ CM E","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUPL HIGH DENS FM SHT P/250SQ CM E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6600","description":"GRAD COMP BDG SUPL HIGH DENS FM SHT P/250SQ CM E","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUPL PAD TEXTILE P/YD ANY WIDTH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6606","description":"GRAD COMP BDG SUPL PAD TEXTILE P/YD ANY WIDTH EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUPL PAD TEXTILE P/YD ANY WIDTH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6606","description":"GRAD COMP BDG SUPL PAD TEXTILE P/YD ANY WIDTH EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUPL TUB PRO ABS LAY P/YD ANY W EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6607","description":"GRAD COMP BDG SUPL TUB PRO ABS LAY P/YD ANY W EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUPL TUB PRO ABS LAY P/YD ANY W EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6607","description":"GRAD COMP BDG SUPL TUB PRO ABS LAY P/YD ANY W EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR BDG ROLL ELAS LNG STR LIN YD ANY W EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6597","description":"GRAD COMPR BDG ROLL ELAS LNG STR LIN YD ANY W EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR BDG ROLL ELAS LNG STR LIN YD ANY W EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6597","description":"GRAD COMPR BDG ROLL ELAS LNG STR LIN YD ANY W EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR BDG ROLL ELAS MD STR P/LIN YD ANY W E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6598","description":"GRAD COMPR BDG ROLL ELAS MD STR P/LIN YD ANY W E","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR BDG ROLL ELAS MD STR P/LIN YD ANY W E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6598","description":"GRAD COMPR BDG ROLL ELAS MD STR P/LIN YD ANY W E","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR GMT FULL LEG  and  FOOT PAD FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6526","description":"GRAD COMPR GMT FULL LEG  and  FOOT PAD FOR NT USE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR GMT FULL LEG  and  FOOT PAD FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6526","description":"GRAD COMPR GMT FULL LEG  and  FOOT PAD FOR NT USE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR GMT FULL LEG  and  FT PAD NT USE CUSTM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6527","description":"GRAD COMPR GMT FULL LEG  and  FT PAD NT USE CUSTM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR GMT FULL LEG  and  FT PAD NT USE CUSTM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6527","description":"GRAD COMPR GMT FULL LEG  and  FT PAD NT USE CUSTM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR GMT LW LEG  and FT PAD FOR NT USE CUST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6525","description":"GRAD COMPR GMT LW LEG  and FT PAD FOR NT USE CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR GMT LW LEG  and FT PAD FOR NT USE CUST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6525","description":"GRAD COMPR GMT LW LEG  and FT PAD FOR NT USE CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR GMT LWR LEG  and  FT PADDED FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6524","description":"GRAD COMPR GMT LWR LEG  and  FT PADDED FOR NT USE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR GMT LWR LEG  and  FT PADDED FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6524","description":"GRAD COMPR GMT LWR LEG  and  FT PADDED FOR NT USE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT CMP BDG SUPL PAD FOAM P/YD ANY WIDTH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6605","description":"GRADIENT CMP BDG SUPL PAD FOAM P/YD ANY WIDTH EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT CMP BDG SUPL PAD FOAM P/YD ANY WIDTH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6605","description":"GRADIENT CMP BDG SUPL PAD FOAM P/YD ANY WIDTH EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT CMP STOCKNG BLW KNEE 30-40MM HG CUST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6553","description":"GRADIENT CMP STOCKNG BLW KNEE 30-40MM HG CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT CMP STOCKNG BLW KNEE 30-40MM HG CUST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6553","description":"GRADIENT CMP STOCKNG BLW KNEE 30-40MM HG CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP ARM SLEEVE CUSTOM HEAVY WEIGHT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6577","description":"GRADIENT COMP ARM SLEEVE CUSTOM HEAVY WEIGHT EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP ARM SLEEVE CUSTOM HEAVY WEIGHT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6577","description":"GRADIENT COMP ARM SLEEVE CUSTOM HEAVY WEIGHT EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP ARM SLEEVE CUSTOM MED WEIGHT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6576","description":"GRADIENT COMP ARM SLEEVE CUSTOM MED WEIGHT EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP ARM SLEEVE CUSTOM MED WEIGHT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6576","description":"GRADIENT COMP ARM SLEEVE CUSTOM MED WEIGHT EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP STK TH HIGH 40 MM HG/GREATER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6535","description":"GRADIENT COMP STK TH HIGH 40 MM HG/GREATER EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP STK TH HIGH 40 MM HG/GREATER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6535","description":"GRADIENT COMP STK TH HIGH 40 MM HG/GREATER EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP STOCKING BELOW KNEE 30-40 MM HG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6552","description":"GRADIENT COMP STOCKING BELOW KNEE 30-40 MM HG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP STOCKING BELOW KNEE 30-40 MM HG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6552","description":"GRADIENT COMP STOCKING BELOW KNEE 30-40 MM HG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP STOCKING BLW KNEE 40 MM HG OR LT   EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6554","description":"GRADIENT COMP STOCKING BLW KNEE 40 MM HG OR LT   EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP STOCKING BLW KNEE 40 MM HG OR LT   EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6554","description":"GRADIENT COMP STOCKING BLW KNEE 40 MM HG OR LT   EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT ARM PADDED FOR NT USE CUST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6523","description":"GRADIENT COMPR GMT ARM PADDED FOR NT USE CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT ARM PADDED FOR NT USE CUST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6523","description":"GRADIENT COMPR GMT ARM PADDED FOR NT USE CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT ARM PADDED FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6522","description":"GRADIENT COMPR GMT ARM PADDED FOR NT USE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT ARM PADDED FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6522","description":"GRADIENT COMPR GMT ARM PADDED FOR NT USE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT GLOVE PADDED FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6520","description":"GRADIENT COMPR GMT GLOVE PADDED FOR NT USE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT GLOVE PADDED FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6520","description":"GRADIENT COMPR GMT GLOVE PADDED FOR NT USE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT GLV PADDED FOR NT USE CUST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6521","description":"GRADIENT COMPR GMT GLV PADDED FOR NT USE CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT GLV PADDED FOR NT USE CUST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6521","description":"GRADIENT COMPR GMT GLV PADDED FOR NT USE CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR STCK BLW KNEE 40MM HG OR LT  CSTM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6555","description":"GRADIENT COMPR STCK BLW KNEE 40MM HG OR LT  CSTM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR STCK BLW KNEE 40MM HG OR LT  CSTM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6555","description":"GRADIENT COMPR STCK BLW KNEE 40MM HG OR LT  CSTM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR STCK THIGH LEN 40MMHG OR LT  CUST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6558","description":"GRADIENT COMPR STCK THIGH LEN 40MMHG OR LT  CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR STCK THIGH LEN 40MMHG OR LT  CUST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6558","description":"GRADIENT COMPR STCK THIGH LEN 40MMHG OR LT  CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR STCK WAIST LEN 40MMHG OR LT  CUST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6564","description":"GRADIENT COMPR STCK WAIST LEN 40MMHG OR LT  CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR STCK WAIST LEN 40MMHG OR LT  CUST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6564","description":"GRADIENT COMPR STCK WAIST LEN 40MMHG OR LT  CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR STOCK BLW KNEE 18-30MM HG CUST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6610","description":"GRADIENT COMPR STOCK BLW KNEE 18-30MM HG CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR STOCK BLW KNEE 18-30MM HG CUST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6610","description":"GRADIENT COMPR STOCK BLW KNEE 18-30MM HG CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR STOCK THIGH LEN 18-30MMHG CUST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6556","description":"GRADIENT COMPR STOCK THIGH LEN 18-30MMHG CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR STOCK THIGH LEN 18-30MMHG CUST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6556","description":"GRADIENT COMPR STOCK THIGH LEN 18-30MMHG CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR STOCK THIGH LEN 30-40MMHG CUST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6557","description":"GRADIENT COMPR STOCK THIGH LEN 30-40MMHG CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR STOCK THIGH LEN 30-40MMHG CUST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6557","description":"GRADIENT COMPR STOCK THIGH LEN 30-40MMHG CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR STOCK WAIST LEN 18-30MMHG CUST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6562","description":"GRADIENT COMPR STOCK WAIST LEN 18-30MMHG CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR STOCK WAIST LEN 18-30MMHG CUST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6562","description":"GRADIENT COMPR STOCK WAIST LEN 18-30MMHG CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR STOCK WAIST LEN 30-40MMHG CUST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6563","description":"GRADIENT COMPR STOCK WAIST LEN 30-40MMHG CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR STOCK WAIST LEN 30-40MMHG CUST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6563","description":"GRADIENT COMPR STOCK WAIST LEN 30-40MMHG CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS GRMNT BRA FOR NIGHTTIME USE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6528","description":"GRADIENT COMPRESS GRMNT BRA FOR NIGHTTIME USE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS GRMNT BRA FOR NIGHTTIME USE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6528","description":"GRADIENT COMPRESS GRMNT BRA FOR NIGHTTIME USE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS GRMT BRA FOR NIGHT USE CUST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6529","description":"GRADIENT COMPRESS GRMT BRA FOR NIGHT USE CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS GRMT BRA FOR NIGHT USE CUST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6529","description":"GRADIENT COMPRESS GRMT BRA FOR NIGHT USE CUST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS STK FULL LENG/CHAP 40MM HG LT  EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6538","description":"GRADIENT COMPRESS STK FULL LENG/CHAP 40MM HG LT  EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS STK FULL LENG/CHAP 40MM HG LT  EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6538","description":"GRADIENT COMPRESS STK FULL LENG/CHAP 40MM HG LT  EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS WRAP ADJ STRAPS ABOVE KNEE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6585","description":"GRADIENT COMPRESS WRAP ADJ STRAPS ABOVE KNEE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS WRAP ADJ STRAPS ABOVE KNEE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6585","description":"GRADIENT COMPRESS WRAP ADJ STRAPS ABOVE KNEE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS WRAP ADJ STRAPS BELOW KNEE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6583","description":"GRADIENT COMPRESS WRAP ADJ STRAPS BELOW KNEE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS WRAP ADJ STRAPS BELOW KNEE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6583","description":"GRADIENT COMPRESS WRAP ADJ STRAPS BELOW KNEE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION ARM SLEEVE  and  GLOVE COMB EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6575","description":"GRADIENT COMPRESSION ARM SLEEVE  and  GLOVE COMB EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION ARM SLEEVE  and  GLOVE COMB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6575","description":"GRADIENT COMPRESSION ARM SLEEVE  and  GLOVE COMB EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION ARM SLEEVE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6578","description":"GRADIENT COMPRESSION ARM SLEEVE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION ARM SLEEVE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6578","description":"GRADIENT COMPRESSION ARM SLEEVE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION BANDAGING SUPPLY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6609","description":"GRADIENT COMPRESSION BANDAGING SUPPLY NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION BANDAGING SUPPLY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6609","description":"GRADIENT COMPRESSION BANDAGING SUPPLY NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT GENITAL REGION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6570","description":"GRADIENT COMPRESSION GARMENT GENITAL REGION EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT GENITAL REGION EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6570","description":"GRADIENT COMPRESSION GARMENT GENITAL REGION EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT NECK/HEAD CUSTOM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6567","description":"GRADIENT COMPRESSION GARMENT NECK/HEAD CUSTOM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT NECK/HEAD CUSTOM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6567","description":"GRADIENT COMPRESSION GARMENT NECK/HEAD CUSTOM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT NECK/HEAD EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6566","description":"GRADIENT COMPRESSION GARMENT NECK/HEAD EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT NECK/HEAD EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6566","description":"GRADIENT COMPRESSION GARMENT NECK/HEAD EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT TOE CAPS CUSTOM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6573","description":"GRADIENT COMPRESSION GARMENT TOE CAPS CUSTOM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT TOE CAPS CUSTOM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6573","description":"GRADIENT COMPRESSION GARMENT TOE CAPS CUSTOM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT TOE CAPS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6572","description":"GRADIENT COMPRESSION GARMENT TOE CAPS EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT TOE CAPS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6572","description":"GRADIENT COMPRESSION GARMENT TOE CAPS EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT TORSO  and  SHOULDER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6568","description":"GRADIENT COMPRESSION GARMENT TORSO  and  SHOULDER EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT TORSO  and  SHOULDER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6568","description":"GRADIENT COMPRESSION GARMENT TORSO  and  SHOULDER EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GAUNTLET CUSTOM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6565","description":"GRADIENT COMPRESSION GAUNTLET CUSTOM EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GAUNTLET CUSTOM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6565","description":"GRADIENT COMPRESSION GAUNTLET CUSTOM EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GAUNTLET EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6582","description":"GRADIENT COMPRESSION GAUNTLET EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GAUNTLET EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6582","description":"GRADIENT COMPRESSION GAUNTLET EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GLOVE CUSTOM HVY WEIGHT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6580","description":"GRADIENT COMPRESSION GLOVE CUSTOM HVY WEIGHT EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GLOVE CUSTOM HVY WEIGHT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6580","description":"GRADIENT COMPRESSION GLOVE CUSTOM HVY WEIGHT EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GLOVE CUSTOM MED WEIGHT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6579","description":"GRADIENT COMPRESSION GLOVE CUSTOM MED WEIGHT EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GLOVE CUSTOM MED WEIGHT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6579","description":"GRADIENT COMPRESSION GLOVE CUSTOM MED WEIGHT EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GLOVE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6581","description":"GRADIENT COMPRESSION GLOVE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GLOVE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6581","description":"GRADIENT COMPRESSION GLOVE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GMT GENITAL REGION CUSTM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6571","description":"GRADIENT COMPRESSION GMT GENITAL REGION CUSTM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GMT GENITAL REGION CUSTM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6571","description":"GRADIENT COMPRESSION GMT GENITAL REGION CUSTM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GMT TORSO/SHOULDER CUSTM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6569","description":"GRADIENT COMPRESSION GMT TORSO/SHOULDER CUSTM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GMT TORSO/SHOULDER CUSTM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6569","description":"GRADIENT COMPRESSION GMT TORSO/SHOULDER CUSTM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK BELW KNEE 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6530","description":"GRADIENT COMPRESSION STK BELW KNEE 18-30 MMHG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK BELW KNEE 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6530","description":"GRADIENT COMPRESSION STK BELW KNEE 18-30 MMHG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK THIGH LEN 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6533","description":"GRADIENT COMPRESSION STK THIGH LEN 18-30 MMHG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK THIGH LEN 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6533","description":"GRADIENT COMPRESSION STK THIGH LEN 18-30 MMHG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK THIGH LEN 30-40 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6534","description":"GRADIENT COMPRESSION STK THIGH LEN 30-40 MMHG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK THIGH LEN 30-40 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6534","description":"GRADIENT COMPRESSION STK THIGH LEN 30-40 MMHG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK THIGH LEN 40-50 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6535","description":"GRADIENT COMPRESSION STK THIGH LEN 40-50 MMHG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK WAIST LEN 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6539","description":"GRADIENT COMPRESSION STK WAIST LEN 18-30 MMHG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK WAIST LEN 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6539","description":"GRADIENT COMPRESSION STK WAIST LEN 18-30 MMHG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK WAIST LEN 30-40 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6540","description":"GRADIENT COMPRESSION STK WAIST LEN 30-40 MMHG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK WAIST LEN 30-40 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6540","description":"GRADIENT COMPRESSION STK WAIST LEN 30-40 MMHG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK WAIST LEN 40-50 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6541","description":"GRADIENT COMPRESSION STK WAIST LEN 40-50 MMHG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK WAIST LENG 40 MM HG LT  EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6541","description":"GRADIENT COMPRESSION STK WAIST LENG 40 MM HG LT  EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK WAIST LENG 40 MM HG LT  EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6541","description":"GRADIENT COMPRESSION STK WAIST LENG 40 MM HG LT  EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION WRAP ADJ STRAPS FOOT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6587","description":"GRADIENT COMPRESSION WRAP ADJ STRAPS FOOT EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION WRAP ADJ STRAPS FOOT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6587","description":"GRADIENT COMPRESSION WRAP ADJ STRAPS FOOT EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION WRAP ADJ STRAPS FULL LEG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6586","description":"GRADIENT COMPRESSION WRAP ADJ STRAPS FULL LEG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION WRAP ADJ STRAPS FULL LEG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6586","description":"GRADIENT COMPRESSION WRAP ADJ STRAPS FULL LEG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION WRAP ADJUSTABLE STRAPS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6584","description":"GRADIENT COMPRESSION WRAP ADJUSTABLE STRAPS NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION WRAP ADJUSTABLE STRAPS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6584","description":"GRADIENT COMPRESSION WRAP ADJUSTABLE STRAPS NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION WRAP WITH ADJ STRAPS ARM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6588","description":"GRADIENT COMPRESSION WRAP WITH ADJ STRAPS ARM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION WRAP WITH ADJ STRAPS ARM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6588","description":"GRADIENT COMPRESSION WRAP WITH ADJ STRAPS ARM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRS STK FULL LEN/CHAP 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6536","description":"GRADIENT COMPRS STK FULL LEN/CHAP 18-30 MMHG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRS STK FULL LEN/CHAP 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6536","description":"GRADIENT COMPRS STK FULL LEN/CHAP 18-30 MMHG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRS STK FULL LEN/CHAP 30-40 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6537","description":"GRADIENT COMPRS STK FULL LEN/CHAP 30-40 MMHG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRS STK FULL LEN/CHAP 30-40 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6537","description":"GRADIENT COMPRS STK FULL LEN/CHAP 30-40 MMHG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRS STK FULL LEN/CHAP 40-50 MMHG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6538","description":"GRADIENT COMPRS STK FULL LEN/CHAP 40-50 MMHG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT CPRSN ARM SLEEVE  and  GLOVE COMB CUSTOM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6574","description":"GRADIENT CPRSN ARM SLEEVE  and  GLOVE COMB CUSTOM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT CPRSN ARM SLEEVE  and  GLOVE COMB CUSTOM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6574","description":"GRADIENT CPRSN ARM SLEEVE  and  GLOVE COMB CUSTOM EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GAUNTLET READY MADE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8428","description":"GRADIENT PRESSURE AID GAUNTLET READY MADE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GAUNTLET READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8428","description":"GRADIENT PRESSURE AID GAUNTLET READY MADE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GLOVE READY MADE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8427","description":"GRADIENT PRESSURE AID GLOVE READY MADE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GLOVE READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8427","description":"GRADIENT PRESSURE AID GLOVE READY MADE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE AND GLOVE READY MADE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8421","description":"GRADIENT PRESSURE AID SLEEVE AND GLOVE READY MADE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE AND GLOVE READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8421","description":"GRADIENT PRESSURE AID SLEEVE AND GLOVE READY MADE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE READY MADE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8424","description":"GRADIENT PRESSURE AID SLEEVE READY MADE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8424","description":"GRADIENT PRESSURE AID SLEEVE READY MADE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE WRAP ADJUSTABLE STRAPS BRA EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6589","description":"GRADIENT PRESSURE WRAP ADJUSTABLE STRAPS BRA EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE WRAP ADJUSTABLE STRAPS BRA EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6589","description":"GRADIENT PRESSURE WRAP ADJUSTABLE STRAPS BRA EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4132","description":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4132","description":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX DUO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4392","description":"GRAFIX DUO PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX DUO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4392","description":"GRAFIX DUO PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX PLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4304","description":"GRAFIX PLUS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX PLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4304","description":"GRAFIX PLUS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX PRM GRAFIXPL PRM STRAVIX  AND  STRAVIXPL P SC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4133","description":"GRAFIX PRM GRAFIXPL PRM STRAVIX  AND  STRAVIXPL P SC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX PRM GRAFIXPL PRM STRAVIX  AND  STRAVIXPL P SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4133","description":"GRAFIX PRM GRAFIXPL PRM STRAVIX  AND  STRAVIXPL P SC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2181.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2181.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":530.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":624.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2181.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2181.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":530.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":624.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":505.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":594.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":925.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":505.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":594.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":925.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":925.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":355.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":463.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":355.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":463.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":417.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":417.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":255.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":427.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":255.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":427.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":658.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":774.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":658.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":658.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":774.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":774.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1081.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1081.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1081.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1081.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":496.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":583.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":496.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":583.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15773","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":345.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":406.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":483.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15773","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":345.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":406.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":483.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15771","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":325.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":382.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":456.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15771","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":325.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":382.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":456.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15774","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15774","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15772","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15772","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15769","description":"GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15769","description":"GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTJACKET PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4107","description":"GRAFTJACKET PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTJACKET PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4107","description":"GRAFTJACKET PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTJACKET XPRESS INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4113","description":"GRAFTJACKET XPRESS INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":919.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTJACKET XPRESS INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4113","description":"GRAFTJACKET XPRESS INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":919.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":919.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":451.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":451.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":740.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":740.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1824.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1824.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1824.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1824.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUND MILEAGE PER STATUTE MILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0425","description":"GROUND MILEAGE PER STATUTE MILE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUND MILEAGE PER STATUTE MILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0425","description":"GROUND MILEAGE PER STATUTE MILE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.05,"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":null,"billing_code":"3210F","description":"GROUP A STREP TEST PERFORMED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CAREGIV TRNG NO PT PRSNT MX SETS CAREGIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0543","description":"GROUP CAREGIV TRNG NO PT PRSNT MX SETS CAREGIV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"GROUP CAREGIV TRNG NO PT PRSNT MX SETS CAREGIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0543","description":"GROUP CAREGIV TRNG NO PT PRSNT MX SETS CAREGIV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"GROUP CAREGIVER TRAINING STRATEGIES  and  TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97552","description":"GROUP CAREGIVER TRAINING STRATEGIES  and  TECHNIQUE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP CAREGIVER TRAINING STRATEGIES  and  TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97552","description":"GROUP CAREGIVER TRAINING STRATEGIES  and  TECHNIQUE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.56,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROWTH STIMULATION EXPRESSED GENE 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83006","description":"GROWTH STIMULATION EXPRESSED GENE 2","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":346.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":346.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX TRNSORL ESG W/ARGON PLASMA COAGJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43889","description":"GSTR RSTCV PX TRNSORL ESG W/ARGON PLASMA COAGJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":475.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":559.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX TRNSORL ESG W/ARGON PLASMA COAGJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43889","description":"GSTR RSTCV PX TRNSORL ESG W/ARGON PLASMA COAGJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":475.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":559.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":346.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1047.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1047.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1047.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77387","description":"GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77387","description":"GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.31,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.92,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Glasses air conduction","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5070","description":"Glasses air conduction","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Glasses bone conduction","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5080","description":"Glasses bone conduction","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":294.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3413.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3413.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2433.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2433.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1707.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1707.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":231.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":231.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1228.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1228.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1207.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1207.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1241.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1241.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":518.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99002","description":"HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99002","description":"HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HANDLG and /OR CONVEY OF SPEC FOR TR FROM PT TO LAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99001","description":"HANDLG and /OR CONVEY OF SPEC FOR TR FROM PT TO LAB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HANDLG and /OR CONVEY OF SPEC FOR TR FROM PT TO LAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99001","description":"HANDLG and /OR CONVEY OF SPEC FOR TR FROM PT TO LAB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HANDLG and /OR CONVEY OF SPEC FOR TR OFFICE TO LAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99000","description":"HANDLG and /OR CONVEY OF SPEC FOR TR OFFICE TO LAB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HANDLG and /OR CONVEY OF SPEC FOR TR OFFICE TO LAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99000","description":"HANDLG and /OR CONVEY OF SPEC FOR TR OFFICE TO LAB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 GENE ANALYSIS COMMON DELETIONS/VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81257","description":"HBA1/HBA2 GENE ANALYSIS COMMON DELETIONS/VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 GENE ANALYSIS DUP/DEL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81269","description":"HBA1/HBA2 GENE ANALYSIS DUP/DEL VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81259","description":"HBA1/HBA2 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":450.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81258","description":"HBA1/HBA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":281.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBB COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81361","description":"HBB COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBB DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81363","description":"HBB DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBB FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81364","description":"HBB FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBB KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81362","description":"HBB KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":281.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBGM USE INTEGRATED LANCING/BS TESTING CARTRIDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2104","description":"HBGM USE INTEGRATED LANCING/BS TESTING CARTRIDGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.0,"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":null,"billing_code":"3517F","description":"HBV STATUS ASSESSED W/ RESULTS IN 1 YR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":447.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":688.46,"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":"2022","billing_code":"77772","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX  GT 12 CHANNELS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":447.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":688.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":293.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":451.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":293.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":451.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":211.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":264.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":211.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":264.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL SKN SURF BRACHYTX LES  LT 2CM/1 CHAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77767","description":"HDR RDNCL SKN SURF BRACHYTX LES  LT 2CM/1 CHAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL SKN SURF BRACHYTX LES  LT 2CM/1 CHAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77767","description":"HDR RDNCL SKN SURF BRACHYTX LES  LT 2CM/1 CHAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.26,"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":null,"billing_code":"4167F","description":"HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.95,"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":"2022","billing_code":"A7035","description":"HEADGEAR USED W/POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":346.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG BINAURAL CIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5248","description":"HEARING AID ANALOG BINAURAL CIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG BINAURAL CIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5248","description":"HEARING AID ANALOG BINAURAL CIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG BINAURAL ITC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5249","description":"HEARING AID ANALOG BINAURAL ITC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG BINAURAL ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5249","description":"HEARING AID ANALOG BINAURAL ITC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG MONAURAL CIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5242","description":"HEARING AID ANALOG MONAURAL CIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG MONAURAL CIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5242","description":"HEARING AID ANALOG MONAURAL CIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG MONAURAL ITC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5243","description":"HEARING AID ANALOG MONAURAL ITC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID ANALOG MONAURAL ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5243","description":"HEARING AID ANALOG MONAURAL ITC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID BILATERAL BODY WORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5100","description":"HEARING AID BILATERAL BODY WORN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID BILATERAL BODY WORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5100","description":"HEARING AID BILATERAL BODY WORN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ICT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5172","description":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ICT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":840.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ICT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5172","description":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ICT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":840.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5171","description":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ITE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":840.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5171","description":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ITE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":840.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL BTE/BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5221","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL BTE/BTE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL BTE/BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5221","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL BTE/BTE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5215","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/BTE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5215","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/BTE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/ITC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5214","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/ITC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5214","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/ITC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5213","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/BTE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5213","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/BTE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5212","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5212","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5211","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5211","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1680.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT RTE SYS BINAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5230","description":"HEARING AID CONTRALAT RTE SYS BINAURAL GLASSES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT RTE SYS BINAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5230","description":"HEARING AID CONTRALAT RTE SYS BINAURAL GLASSES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALATERAL ROUT DVC MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5181","description":"HEARING AID CONTRALATERAL ROUT DVC MONAURAL BTE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":840.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALATERAL ROUT DVC MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5181","description":"HEARING AID CONTRALATERAL ROUT DVC MONAURAL BTE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":840.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALATERAL RTE MONAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5190","description":"HEARING AID CONTRALATERAL RTE MONAURAL GLASSES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALATERAL RTE MONAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5190","description":"HEARING AID CONTRALATERAL RTE MONAURAL GLASSES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5261","description":"HEARING AID DIGITAL BINAURAL BTE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1527.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1527.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5261","description":"HEARING AID DIGITAL BINAURAL BTE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1527.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1527.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL CIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5258","description":"HEARING AID DIGITAL BINAURAL CIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL CIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5258","description":"HEARING AID DIGITAL BINAURAL CIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL ITC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5259","description":"HEARING AID DIGITAL BINAURAL ITC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5259","description":"HEARING AID DIGITAL BINAURAL ITC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL ITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5260","description":"HEARING AID DIGITAL BINAURAL ITE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1527.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1527.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5260","description":"HEARING AID DIGITAL BINAURAL ITE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1527.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1527.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5257","description":"HEARING AID DIGITAL MONAURAL BTE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":763.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5257","description":"HEARING AID DIGITAL MONAURAL BTE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":763.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL CIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5254","description":"HEARING AID DIGITAL MONAURAL CIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL CIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5254","description":"HEARING AID DIGITAL MONAURAL CIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL ITC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5255","description":"HEARING AID DIGITAL MONAURAL ITC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5255","description":"HEARING AID DIGITAL MONAURAL ITC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5256","description":"HEARING AID DIGITAL MONAURAL ITE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":763.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5256","description":"HEARING AID DIGITAL MONAURAL ITE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":763.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5253","description":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":712.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5253","description":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":712.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5252","description":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":712.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5252","description":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":712.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG BINAURAL CIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5250","description":"HEARING AID DIGTLLY PROG ANALOG BINAURAL CIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG BINAURAL CIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5250","description":"HEARING AID DIGTLLY PROG ANALOG BINAURAL CIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG BINAURAL ITC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5251","description":"HEARING AID DIGTLLY PROG ANALOG BINAURAL ITC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG BINAURAL ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5251","description":"HEARING AID DIGTLLY PROG ANALOG BINAURAL ITC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5247","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":356.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5247","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":356.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL CIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5244","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL CIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL CIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5244","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL CIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5245","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5245","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5246","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":356.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5246","description":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":356.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DISPOSABLE ANY TYPE BINAURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5263","description":"HEARING AID DISPOSABLE ANY TYPE BINAURAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DISPOSABLE ANY TYPE BINAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5263","description":"HEARING AID DISPOSABLE ANY TYPE BINAURAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DISPOSABLE ANY TYPE MONAURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5262","description":"HEARING AID DISPOSABLE ANY TYPE MONAURAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DISPOSABLE ANY TYPE MONAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5262","description":"HEARING AID DISPOSABLE ANY TYPE MONAURAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5060","description":"HEARING AID MONAURAL BEHIND THE EAR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5060","description":"HEARING AID MONAURAL BEHIND THE EAR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BODY WORN AIR CONDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5030","description":"HEARING AID MONAURAL BODY WORN AIR CONDUCTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":356.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BODY WORN AIR CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5030","description":"HEARING AID MONAURAL BODY WORN AIR CONDUCTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":356.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5040","description":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":356.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5040","description":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":356.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":356.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL IN THE EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5050","description":"HEARING AID MONAURAL IN THE EAR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL IN THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5050","description":"HEARING AID MONAURAL IN THE EAR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING LOSS DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81431","description":"HEARING LOSS DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":509.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING LOSS GENOMIC SEQUENCE ANALYSIS 60 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81430","description":"HEARING LOSS GENOMIC SEQUENCE ANALYSIS 60 GENES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1218.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1218.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING SERVICE MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5299","description":"HEARING SERVICE MISCELLANEOUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING SERVICE MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5299","description":"HEARING SERVICE MISCELLANEOUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"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":null,"billing_code":"3230F","description":"HEARING TEST 6 MOS PRIOR TO EAR TUBE INSERTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2585.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2585.77,"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":"2022","billing_code":"33945","description":"HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2585.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2585.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2448.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2448.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2448.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2448.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":216.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1114.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1114.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1114.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1114.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELICOLL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4164","description":"HELICOLL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELICOLL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4164","description":"HELICOLL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":441.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":441.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":441.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":441.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMATOLYMPHOID NEO/DO GSAP 5-50 RNA ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81451","description":"HEMATOLYMPHOID NEO/DO GSAP 5-50 RNA ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":569.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMATOLYMPHOID NEO/DO GSAP 5-50DNA/DNA and RNA ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81450","description":"HEMATOLYMPHOID NEO/DO GSAP 5-50DNA/DNA and RNA ALYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":569.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1583.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1583.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3760.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3760.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3957.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3957.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":786.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":786.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":786.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1086","description":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL FOOTRESTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":908.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":908.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":980.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":980.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":980.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":980.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-WHLCHAIR; FIX FULL ARMS DTACHBLE FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1085","description":"HEMI-WHLCHAIR; FIX FULL ARMS DTACHBLE FOOTRESTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":715.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":715.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20933","description":"HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":451.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":531.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20933","description":"HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":451.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":531.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3876.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3876.41,"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":null,"billing_code":"4052F","description":"HEMODIAL VIA FUNCTIONG AV FISTULA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0505F","description":"HEMODIALYSIS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.49,"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":"2022","billing_code":"90935","description":"HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN GLYCOSYLATED A1C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83036","description":"HEMOGLOBIN GLYCOSYLATED A1C","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.28,"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":null,"billing_code":"3281F","description":"HEMOGLOBIN LEVEL  LT 11 G/DL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":324.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":381.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":324.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":381.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":287.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":287.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"HEP B VACC 3 AG 10 MCG 3 DOSE SCHED FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90759","description":"HEP B VACC 3 AG 10 MCG 3 DOSE SCHED FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP B VACC 3 AG 10 MCG 3 DOSE SCHED FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90759","description":"HEP B VACC 3 AG 10 MCG 3 DOSE SCHED FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.82,"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":null,"billing_code":"3220F","description":"HEP C QUANT RNA TEST 12 WKS AFTER ANTIVIRAL TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.98,"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":"2022","billing_code":"90633","description":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90632","description":"HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90632","description":"HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATIC FUNCTION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80076","description":"HEPATIC FUNCTION PANEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.29,"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":null,"billing_code":"4148F","description":"HEPATITIS A VACCINE ADMIN OR PREVIOSLY RECVD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.21,"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":null,"billing_code":"3513F","description":"HEPATITIS B SCREENING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SURFACE ANTIGEN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87467","description":"HEPATITIS B SURFACE ANTIGEN QUANTITATIVE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.99,"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":null,"billing_code":"4149F","description":"HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C ABO SC IND HIGH RISK AND OTH CVRD INDIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0472","description":"HEPATITIS C ABO SC IND HIGH RISK AND OTH CVRD INDIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.62,"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":null,"billing_code":"3266F","description":"HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.48,"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":"2022","billing_code":"78227","description":"HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90739","description":"HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90739","description":"HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90739","description":"HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HERED NEUROEND TUM-RELATED DO GEN SEQ ALYS 5 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81437","description":"HERED NEUROEND TUM-RELATED DO GEN SEQ ALYS 5 Plus","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":977.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":977.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY BRST CA-RELATED GEN SEQ ANALYS 10 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81432","description":"HEREDITARY BRST CA-RELATED GEN SEQ ANALYS 10 GEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":977.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":977.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY BRST CA-RLATD DO GEN SEQ ALYS 5 Plus  GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81432","description":"HEREDITARY BRST CA-RLATD DO GEN SEQ ALYS 5 Plus  GEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":977.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":977.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY CARDIOMYOPATHY GEN SEQ ANALYS 5 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81439","description":"HEREDITARY CARDIOMYOPATHY GEN SEQ ANALYS 5 GEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":438.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY COLON CA DSRDRS GEN SEQ ANALYS 10 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81435","description":"HEREDITARY COLON CA DSRDRS GEN SEQ ANALYS 10 GEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":977.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":977.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY COLON CA-RELATED DO GEN SEQ ALYS 5 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81435","description":"HEREDITARY COLON CA-RELATED DO GEN SEQ ALYS 5 Plus","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":977.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":977.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY PERIPHERAL NEUROPATHY GEN SEQ PNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81448","description":"HEREDITARY PERIPHERAL NEUROPATHY GEN SEQ PNL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":438.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY RETINAL DSRDRS GEN SEQ ANALYS 15 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81434","description":"HEREDITARY RETINAL DSRDRS GEN SEQ ANALYS 15 GEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY RTA DO GEN SEQ ALYS AT LEAST 15 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81434","description":"HEREDITARY RTA DO GEN SEQ ALYS AT LEAST 15 GEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDTRY NURONDCRN TUM DSRDRS GEN SEQ ANAL 6 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81437","description":"HEREDTRY NURONDCRN TUM DSRDRS GEN SEQ ANAL 6 GEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":977.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":977.96,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HETEROPHILE ANTIBODIES SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86308","description":"HETEROPHILE ANTIBODIES SCREEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1066.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1066.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1066.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1066.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WC DTCHBL ARMS SWNG AWAY DTCHBL FTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1290","description":"HEVY-DUTY WC DTCHBL ARMS SWNG AWAY DTCHBL FTRST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1128.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1128.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1199.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1199.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1199.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1199.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WHLCHAIR; FIX ARMS DTACHBLE FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1285","description":"HEVY-DUTY WHLCHAIR; FIX ARMS DTACHBLE FOOTRESTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1051.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1122.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1122.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1122.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1122.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEXA GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81255","description":"HEXA GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1219.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1219.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12190.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12190.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1219.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1219.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12190.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12190.0,"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":null,"billing_code":"3117F","description":"HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81256","description":"HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.02,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB GLYCOSYLATED A1C DEVICE CLEARED FDA HOME USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83037","description":"HGB GLYCOSYLATED A1C DEVICE CLEARED FDA HOME USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":400.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":400.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS FOOTREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1090","description":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS FOOTREST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1275.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1275.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1346.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1346.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1346.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1346.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARM DTACH FOOTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1089","description":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARM DTACH FOOTRST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1157.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1157.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1229.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1229.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1229.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1229.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1219.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1219.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12190.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12190.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1134.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1134.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1134.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1134.72,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3579.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3579.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6584.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6584.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":710.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":598.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":598.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":727.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS BIL TH CUFFS ADJ ABD SPRD BAR ADLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1653","description":"HIP ORTHOSIS BIL TH CUFFS ADJ ABD SPRD BAR ADLT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":302.44,"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":null,"billing_code":"1050F","description":"HISTORY NEW OR CHANGING MOLES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41173.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41173.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43185.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43185.34,"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":"2022","billing_code":"J9226","description":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41173.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41173.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43185.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43185.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5166.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5166.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5166.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5166.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT IMMUOTHAPY; CARE COORDINATION PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9338","description":"HIT IMMUOTHAPY; CARE COORDINATION PER DIEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT IMMUOTHAPY; CARE COORDINATION PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9338","description":"HIT IMMUOTHAPY; CARE COORDINATION PER DIEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"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":null,"billing_code":"3491F","description":"HIV INDETERMINATE INFANTS BORN OF HIV MOTHERS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":389.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":373.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":526.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS I TYPING HIGH RESOLUTION COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81379","description":"HLA CLASS I TYPING HIGH RESOLUTION COMPLETE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":251.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS I TYPING HIGH RESOLUTION ONE LOCUS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81380","description":"HLA CLASS I TYPING HIGH RESOLUTION ONE LOCUS EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS I TYPING LOW RESOLUTION COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81372","description":"HLA CLASS I TYPING LOW RESOLUTION COMPLETE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":302.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS I TYPING LOW RESOLUTION ONE LOCUS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81373","description":"HLA CLASS I TYPING LOW RESOLUTION ONE LOCUS EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS I and II LOW HLA-A -B -C -DRB1/3/4/5 and DQB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81370","description":"HLA CLASS I and II LOW HLA-A -B -C -DRB1/3/4/5 and DQB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS II TYPING HIGH RESOLUTION ONE LOCUS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81382","description":"HLA CLASS II TYPING HIGH RESOLUTION ONE LOCUS EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA CLASS II TYPING LOW RESOLUTION ONE LOCUS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81376","description":"HLA CLASS II TYPING LOW RESOLUTION ONE LOCUS EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA I AND II HIGH RESOLUTION HLA-A -B -C AND -DRB1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81378","description":"HLA I AND II HIGH RESOLUTION HLA-A -B -C AND -DRB1","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":259.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA I AND LI LOW RESOLUTION HLA-A -B AND -DRB1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81371","description":"HLA I AND LI LOW RESOLUTION HLA-A -B AND -DRB1","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":303.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA I LOW RESOLUTION ONE ANTIGEN EQUIVALENT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81374","description":"HLA I LOW RESOLUTION ONE ANTIGEN EQUIVALENT EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA I TYPING HIGH RESOLUTION 1 ALLELE/ALLELE GRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81381","description":"HLA I TYPING HIGH RESOLUTION 1 ALLELE/ALLELE GRP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA II HIGH RESOLUTION 1 ALLELE/ALLELE GROUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81383","description":"HLA II HIGH RESOLUTION 1 ALLELE/ALLELE GROUP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA II LOW RESOLUTION HLA-DRB1/3/4/5 AND -DQB1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81375","description":"HLA II LOW RESOLUTION HLA-DRB1/3/4/5 AND -DQB1","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA II LOW RESOLUTION ONE ANTIGEN EQUIVALENT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81377","description":"HLA II LOW RESOLUTION ONE ANTIGEN EQUIVALENT EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HMATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4134","description":"HMATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HMATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4134","description":"HMATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HMN HLTH FAC 10 AMNIOTIC PATCH HHF10-P PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4224","description":"HMN HLTH FAC 10 AMNIOTIC PATCH HHF10-P PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HMN HLTH FAC 10 AMNIOTIC PATCH HHF10-P PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4224","description":"HMN HLTH FAC 10 AMNIOTIC PATCH HHF10-P PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HO BIL HIP JTS  and  TH CUFFS ADJ FLEX CTRL HIP JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1681","description":"HO BIL HIP JTS  and  TH CUFFS ADJ FLEX CTRL HIP JNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1800.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1800.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOLDING CHAMB/SPACR W/AN INHAL/NEBULIZR; W/MASK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8101","description":"HOLDING CHAMB/SPACR W/AN INHAL/NEBULIZR; W/MASK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOLDING CHAMB/SPACR W/AN INHAL/NEBULIZR; W/MASK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8101","description":"HOLDING CHAMB/SPACR W/AN INHAL/NEBULIZR; W/MASK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":484.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":484.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME ADMIN AEROSOLIZED DRUG THERAPY PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9061","description":"HOME ADMIN AEROSOLIZED DRUG THERAPY PER DIEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME ADMIN AEROSOLIZED DRUG THERAPY PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9061","description":"HOME ADMIN AEROSOLIZED DRUG THERAPY PER DIEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY HYDRATION TX; 1 LITER DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9374","description":"HOME INFUSION THERAPY HYDRATION TX; 1 LITER DAY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY HYDRATION TX; 1 LITER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9374","description":"HOME INFUSION THERAPY HYDRATION TX; 1 LITER DAY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VENT DF RESP DVC PER ADD FUNC OF COUGH STIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0468","description":"HOME VENT DF RESP DVC PER ADD FUNC OF COUGH STIM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":950.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":950.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VENTILATOR ANY TYPE USED W/INVASIVE INTF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0465","description":"HOME VENTILATOR ANY TYPE USED W/INVASIVE INTF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":933.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":933.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VENTILATOR ANY TYPE USED W/NON-INVASV INTF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0466","description":"HOME VENTILATOR ANY TYPE USED W/NON-INVASV INTF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":933.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":933.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VENTILATOR MGMT CARE OVERSIGHT 30 MIN OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94005","description":"HOME VENTILATOR MGMT CARE OVERSIGHT 30 MIN OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VENTILATOR MGMT CARE OVERSIGHT 30 MIN OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94005","description":"HOME VENTILATOR MGMT CARE OVERSIGHT 30 MIN OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VENTILATOR MULTI-FUNCTION RESPIRATORY DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0467","description":"HOME VENTILATOR MULTI-FUNCTION RESPIRATORY DEVC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1000.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":493.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4932.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4932.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":493.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4932.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4932.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1945.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1945.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1945.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1945.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1677.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1677.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1677.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1677.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":892.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":892.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":989.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":989.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":989.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1110.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1110.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1110.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1110.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":580.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":580.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":580.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":470.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":470.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":677.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":677.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":677.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":457.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4578.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4578.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":457.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4578.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4578.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":460.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":460.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":540.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":540.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":625.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":625.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1285.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1285.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1285.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1285.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":890.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":890.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":890.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":890.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":567.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":567.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":567.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE EVALUATION  AND  CNSL SERVICES PREELECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0337","description":"HOSPICE EVALUATION  AND  CNSL SERVICES PREELECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE EVALUATION  AND  CNSL SERVICES PREELECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0337","description":"HOSPICE EVALUATION  AND  CNSL SERVICES PREELECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"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":null,"billing_code":"G9692","description":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PRVD TO PT ANY TIME DUR MSMT PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1303","description":"HOSPICE SRVC PRVD TO PT ANY TIME DUR MSMT PRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PRVD TO PT ANY TIME DUR MSMT PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1303","description":"HOSPICE SRVC PRVD TO PT ANY TIME DUR MSMT PRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":540.0,"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":"2022","billing_code":"E0291","description":"HOSPITAL BED FIX HT W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":540.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":445.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":445.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED PEDIATRIC ELECTRIC INCLUDE MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0329","description":"HOSPITAL BED PEDIATRIC ELECTRIC INCLUDE MATTRESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":600.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6000.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6000.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED PEDIATRIC MANUAL INCLUDES MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0328","description":"HOSPITAL BED PEDIATRIC MANUAL INCLUDES MATTRESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":556.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5560.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5560.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":703.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":703.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1020.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1020.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.99,"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":null,"billing_code":"G9767","description":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.3,"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":"2022","billing_code":"A7508","description":"HOUS and INTGR ADHES TRACHEOSTOMA EXCHG SYS  and / VALV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-1 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81105","description":"HPA-1 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-15 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81112","description":"HPA-15 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-2 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81106","description":"HPA-2 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-3 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81107","description":"HPA-3 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-4 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81108","description":"HPA-4 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-5 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81109","description":"HPA-5 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-6 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81110","description":"HPA-6 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-9 GENOTYPING GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81111","description":"HPA-9 GENOTYPING GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPO UND PRESS FULL BODY CHMBR PER 30 MIN INT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0277","description":"HPO UND PRESS FULL BODY CHMBR PER 30 MIN INT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":105.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":105.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.8962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.8962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":109.7821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":109.7821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":169.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":169.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPO UND PRESS FULL BODY CHMBR PER 30 MIN INT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0277","description":"HPO UND PRESS FULL BODY CHMBR PER 30 MIN INT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":105.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":105.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.8962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.8962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":109.7821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":109.7821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":169.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":169.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPV OROPHARYNGEAL SWAB 14 HIGH-RISK TYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0429U","description":"HPV OROPHARYNGEAL SWAB 14 HIGH-RISK TYPES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HTT GENE ANALYSIS DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81271","description":"HTT GENE ANALYSIS DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMAN BREAST MILK PROCESSING STORAGE AND DSTRB ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T2101","description":"HUMAN BREAST MILK PROCESSING STORAGE AND DSTRB ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMAN BREAST MILK PROCESSING STORAGE AND DSTRB ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2101","description":"HUMAN BREAST MILK PROCESSING STORAGE AND DSTRB ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":476.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":476.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7326","description":"HYALURONAN/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":526.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":528.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7326","description":"HYALURONAN/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":526.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":528.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV HYMOVIS/HYMOVIS ONE IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7322","description":"HYALURONAN/DERIV HYMOVIS/HYMOVIS ONE IA INJ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV HYMOVIS/HYMOVIS ONE IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7322","description":"HYALURONAN/DERIV HYMOVIS/HYMOVIS ONE IA INJ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE DUROLANE FOR IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7318","description":"HYALURONAN/DERIVATIVE DUROLANE FOR IA INJ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE DUROLANE FOR IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7318","description":"HYALURONAN/DERIVATIVE DUROLANE FOR IA INJ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7328","description":"HYALURONAN/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7328","description":"HYALURONAN/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE HYMOVIS IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7322","description":"HYALURONAN/DERIVATIVE HYMOVIS IA INJ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE MONOVISC IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7327","description":"HYALURONAN/DERIVATIVE MONOVISC IA INJ PER DOSE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":564.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":655.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE MONOVISC IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7327","description":"HYALURONAN/DERIVATIVE MONOVISC IA INJ PER DOSE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":564.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":655.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE TRILURON IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7332","description":"HYALURONAN/DERIVATIVE TRILURON IA INJ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE TRILURON IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7332","description":"HYALURONAN/DERIVATIVE TRILURON IA INJ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE TRIVISC FOR IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7329","description":"HYALURONAN/DERIVATIVE TRIVISC FOR IA INJ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE TRIVISC FOR IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7329","description":"HYALURONAN/DERIVATIVE TRIVISC FOR IA INJ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVITIVE GENVISC 850 IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7320","description":"HYALURONAN/DERIVITIVE GENVISC 850 IA INJ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVITIVE GENVISC 850 IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7320","description":"HYALURONAN/DERIVITIVE GENVISC 850 IA INJ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":369.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL  GT 48 SQ W/ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6239","description":"HYDROCOLLOID DRESS STERL  GT 48 SQ W/ADHES BORDR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL  GT 48 SQ W/ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6239","description":"HYDROCOLLOID DRESS STERL  GT 48 SQ W/ADHES BORDR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":660.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":660.43,"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":null,"billing_code":"4050F","description":"HYPERTENSION PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":360.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":514.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":360.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":514.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":360.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":514.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":429.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":573.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":429.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":573.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":429.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":573.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":428.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":571.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":428.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":571.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPNOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90880","description":"HYPNOTHERAPY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPNOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90880","description":"HYPNOTHERAPY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":227.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":227.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":847.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":847.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1523.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1523.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1523.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1523.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.0355,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":228.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":228.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90750","description":"HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":259.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90750","description":"HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":259.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Hepatic Function Panel","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80076","description":"Hepatic Function Panel","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Hypnotherapy","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90880","description":"Hypnotherapy","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.0385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.0385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.0385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":249.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":343.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.007,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":249.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":343.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":252.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":252.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":509.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":599.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":509.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":599.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":505.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":594.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":505.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":594.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":354.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":354.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":354.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D EPIDIDYMIS TESTIS and /SCROTAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54700","description":"I and D EPIDIDYMIS TESTIS and /SCROTAL SPACE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D EPIDIDYMIS TESTIS and /SCROTAL SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54700","description":"I and D EPIDIDYMIS TESTIS and /SCROTAL SPACE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D EPIDIDYMIS TSTIS and /SCROTAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54700","description":"I and D EPIDIDYMIS TSTIS and /SCROTAL SPACE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":308.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":308.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86328","description":"IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86328","description":"IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA INFLUENZA A/B EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87400","description":"IAAD IA INFLUENZA A/B EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SARSCOV  and  INFLUENZA VIRUS TYPES A and B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87428","description":"IAAD IA SARSCOV  and  INFLUENZA VIRUS TYPES A and B","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SARSCOV  and  INFLUENZA VIRUS TYPES A and B","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87428","description":"IAAD IA SARSCOV  and  INFLUENZA VIRUS TYPES A and B","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87426","description":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO HIV1 ANTIGEN W/HIV1  and  HIV2 ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87806","description":"IAADIADOO HIV1 ANTIGEN W/HIV1  and  HIV2 ANTIBODIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO INFLUENZA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87804","description":"IAADIADOO INFLUENZA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87807","description":"IAADIADOO RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO SARSCOV2 and INFLUENZA VIRUS TYPES A and B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87812","description":"IAADIADOO SARSCOV2 and INFLUENZA VIRUS TYPES A and B","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87811","description":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87811","description":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO STREPTOCOCCUS GROUP A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87880","description":"IAADIADOO STREPTOCOCCUS GROUP A","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87468","description":"IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87469","description":"IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87478","description":"IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLMYD TRCHMTS and NEISRA GONORR MULT AMP PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87494","description":"IADNA CHLMYD TRCHMTS and NEISRA GONORR MULT AMP PRB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA DNA/RNA ZIKA VIRUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87662","description":"IADNA DNA/RNA ZIKA VIRUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87484","description":"IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA GU PTHGN SEMIQ ID DNA 16 BCT and 1FNGL ORG UR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0371U","description":"IADNA GU PTHGN SEMIQ ID DNA 16 BCT and 1FNGL ORG UR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA H PYLORI CLARITHROMYCIN RESIST AMP PRB TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87513","description":"IADNA H PYLORI CLARITHROMYCIN RESIST AMP PRB TQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS D DELTA QUAN W/REV TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87523","description":"IADNA HEPATITIS D DELTA QUAN W/REV TRANSCRIPTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HPV SEP RPRT HI-RSK TYP and HI-RSK POOLD RSLTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87626","description":"IADNA HPV SEP RPRT HI-RSK TYP and HI-RSK POOLD RSLTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87624","description":"IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87624","description":"IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HUMAN PAPILLOMAVIRUS LOW-RISK TYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87623","description":"IADNA HUMAN PAPILLOMAVIRUS LOW-RISK TYPES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HUMAN PAPILLOMAVIRUS TYPES 16  AND  18 ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87625","description":"IADNA HUMAN PAPILLOMAVIRUS TYPES 16  AND  18 ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA JT SPC PTHGN and RX RESIST GEN MULT AMP PRB26 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87627","description":"IADNA JT SPC PTHGN and RX RESIST GEN MULT AMP PRB26 Plus","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":509.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MTB RIFAMPIN RESISTANCE AMP PRB TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87564","description":"IADNA MTB RIFAMPIN RESISTANCE AMP PRB TQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87563","description":"IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87593","description":"IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA PNEUMOCYSTIS JIROVECII AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87594","description":"IADNA PNEUMOCYSTIS JIROVECII AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 12-25 TARGET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87633","description":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 12-25 TARGET","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 3-5 TARGETS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87631","description":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 3-5 TARGETS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 6-11 TARGETS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87632","description":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 6-11 TARGETS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87635","description":"IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2  and  INF A and B  and  RSV MULT AMP PROBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87637","description":"IADNA SARSCOV2  and  INF A and B  and  RSV MULT AMP PROBE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2  and  INF A and B  and  RSV MULT AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87637","description":"IADNA SARSCOV2  and  INF A and B  and  RSV MULT AMP PROBE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2 and  INF A and B MULT AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87636","description":"IADNA SARSCOV2 and  INF A and B MULT AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2 and  INF A and B MULT AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87636","description":"IADNA SARSCOV2 and  INF A and B MULT AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87507","description":"IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87506","description":"IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IBMFS SEQUENCE ANALYSIS PANEL AT LEAST 30 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81441","description":"IBMFS SEQUENCE ANALYSIS PANEL AT LEAST 30 GENES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1836.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1836.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":411.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":484.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":411.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":484.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IDH1 COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81120","description":"IDH1 COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IDH2 COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81121","description":"IDH2 COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":221.84,"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":null,"billing_code":"G9511","description":"IDX PHQ-9/PHQ-9M SC GT 9 DOC DUR 12 MO DNOMN ID PRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IFNL3 GENE ANALYSIS RS12979860 VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81283","description":"IFNL3 GENE ANALYSIS RS12979860 VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IGH@ REARRANGE ABNORMAL CLONAL POP AMPLIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81261","description":"IGH@ REARRANGE ABNORMAL CLONAL POP AMPLIFIED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IGH@ REARRANGE ABNORMAL CLONAL POP DIRECT PROBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81262","description":"IGH@ REARRANGE ABNORMAL CLONAL POP DIRECT PROBE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IGH@ VARIABLE REGION SOMATIC MUTATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81263","description":"IGH@ VARIABLE REGION SOMATIC MUTATION ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IGH@/BCL2 TLCJ ALYS MBR  and  MCR BP QUAL/QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81278","description":"IGH@/BCL2 TLCJ ALYS MBR  and  MCR BP QUAL/QUAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IGK@ GENE REARRANGE DETECT ABNORMAL CLONAL POP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81264","description":"IGK@ GENE REARRANGE DETECT ABNORMAL CLONAL POP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90653","description":"IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90653","description":"IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90662","description":"IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90662","description":"IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.16,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.22,"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":"2022","billing_code":"90656","description":"IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IKBKAP GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81260","description":"IKBKAP GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY STOMA W/BALLOON DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44381","description":"ILEOSCOPY STOMA W/BALLOON DILATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":546.1047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":546.1047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":554.5217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":554.5217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":568.9509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":568.9509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":869.6592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":869.6592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY STOMA W/BALLOON DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44381","description":"ILEOSCOPY STOMA W/BALLOON DILATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":546.1047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":546.1047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":554.5217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":554.5217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":568.9509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":568.9509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":869.6592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":869.6592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY STOMA W/PLMT OF ENDOSCOPIC STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44384","description":"ILEOSCOPY STOMA W/PLMT OF ENDOSCOPIC STENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":77.6571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":77.6571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":77.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":77.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.0903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.0903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY STOMA W/PLMT OF ENDOSCOPIC STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44384","description":"ILEOSCOPY STOMA W/PLMT OF ENDOSCOPIC STENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":77.6571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":77.6571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":77.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":77.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.0903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.0903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4074","description":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4074","description":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL 1 VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90473","description":"IM ADM INTRANSL/ORAL 1 VACCINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL 1 VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90473","description":"IM ADM INTRANSL/ORAL 1 VACCINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL EA VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90474","description":"IM ADM INTRANSL/ORAL EA VACCINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL EA VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90474","description":"IM ADM INTRANSL/ORAL EA VACCINE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT  21 5-15 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0312","description":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT  21 5-15 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT  21 5-15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0312","description":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT  21 5-15 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT 21 16-30 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0313","description":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT 21 16-30 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT 21 16-30 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0313","description":"IM CNSLG PHYS/Q HCP VAC NA SAME DOS A LT 21 16-30 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.9,"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":null,"billing_code":"G9537","description":"IMAG NEEDED AS PART CLIN TRL;/OTH CLIN ORD STUDY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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-GUIDED CATHETER FLUID COLLECTION DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10030","description":"IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.5155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":561.8,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS POC AUTON A/R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92229","description":"IMG RETINA DETCJ/MNTR DS POC AUTON A/R UNI/BI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG RETINA DETCJ/MNTR DS POC AUTON A/R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92229","description":"IMG RETINA DETCJ/MNTR DS POC AUTON A/R UNI/BI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49406","description":"IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.6835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":663.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49406","description":"IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.6835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.6835,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":663.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10030","description":"IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.5155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":561.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10030","description":"IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.5155,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":561.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88342","description":"IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHCHEM/IMCYTCHM EA MULTIPLEX ANTIBODY STAIN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88344","description":"IMHCHEM/IMCYTCHM EA MULTIPLEX ANTIBODY STAIN PX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHISTOCHEM/CYTCHM EA MULTIPLEX ANTIBODY SLIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88344","description":"IMHISTOCHEM/CYTCHM EA MULTIPLEX ANTIBODY SLIDE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90480","description":"IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPONENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90480","description":"IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPONENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 VACCINE EACH ADDL COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90481","description":"IMM ADMN SARSCOV2 VACCINE EACH ADDL COMPONENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 VACCINE EACH ADDL COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90481","description":"IMM ADMN SARSCOV2 VACCINE EACH ADDL COMPONENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 VACCINE SINGLE DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90480","description":"IMM ADMN SARSCOV2 VACCINE SINGLE DOSE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM CNSL PHYS/QHP IMM NOT ADMN SAME DOS 3 LT 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90482","description":"IMM CNSL PHYS/QHP IMM NOT ADMN SAME DOS 3 LT 10 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IMM CNSL PHYS/QHP IMM NOT ADMN SAME DOS 3 LT 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90482","description":"IMM CNSL PHYS/QHP IMM NOT ADMN SAME DOS 3 LT 10 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":282.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":423.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":423.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1289.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":350.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1545.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1545.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1956.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1956.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1313.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1313.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":487.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":443.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1021.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1021.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":407.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":479.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOELECTROPHORESIS OTHER FLUIDS CONCENTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86325","description":"IMMUNOELECTROPHORESIS OTHER FLUIDS CONCENTRATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOELECTROPHORESIS SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86320","description":"IMMUNOELECTROPHORESIS SERUM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86335","description":"IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88350","description":"IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88350","description":"IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOGLOBULIN LIGHT CHAINS FREE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83521","description":"IMMUNOGLOBULIN LIGHT CHAINS FREE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"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":null,"billing_code":"G9426","description":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ABSRB MESH/PRSTH DLYD CLSR DFCT INFCTJ/TRMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15778","description":"IMPL ABSRB MESH/PRSTH DLYD CLSR DFCT INFCTJ/TRMA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":298.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL ABSRB MESH/PRSTH DLYD CLSR DFCT INFCTJ/TRMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15778","description":"IMPL ABSRB MESH/PRSTH DLYD CLSR DFCT INFCTJ/TRMA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":298.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69729","description":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to 1","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":438.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":515.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69729","description":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to 1","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":438.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":515.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69716","description":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":397.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":467.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69716","description":"IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":397.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":467.92,"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":null,"billing_code":"4470F","description":"IMPLANT CARDIOVERT-DEFIB (ICD) COUNSELING PROV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":700.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":528.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8170.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8170.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5837.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5837.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":892.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":892.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8926.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8926.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ IRIS PROSTHESIS W/SUTR FIXJ and RPR/RMVL IRIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66683","description":"IMPLTJ IRIS PROSTHESIS W/SUTR FIXJ and RPR/RMVL IRIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":482.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":568.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ IRIS PROSTHESIS W/SUTR FIXJ and RPR/RMVL IRIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66683","description":"IMPLTJ IRIS PROSTHESIS W/SUTR FIXJ and RPR/RMVL IRIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":482.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":568.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":259.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":305.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":259.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":305.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ TOTAL RPLCMT HEART SYS W/RCP CARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33927","description":"IMPLTJ TOTAL RPLCMT HEART SYS W/RCP CARDIECTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2081.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2081.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ TOTAL RPLCMT HEART SYS W/RCP CARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33927","description":"IMPLTJ TOTAL RPLCMT HEART SYS W/RCP CARDIECTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2081.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2081.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":333.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":333.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1203.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1203.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":751.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":884.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1203.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1203.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":751.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":884.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1076.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1076.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":664.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":781.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1182.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1182.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":737.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":867.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1182.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1182.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":737.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":867.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":867.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":274.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":322.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":423.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":274.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":322.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":423.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1200.1745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1200.1745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1411.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1411.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1827.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1827.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1200.1745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1200.1745,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1411.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1411.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1827.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1827.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":570.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":671.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":945.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":570.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":671.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":945.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":945.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1032.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1032.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":629.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":740.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1032.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1032.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":629.544,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":740.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1229.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1229.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":766.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":901.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1108.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1108.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":690.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":812.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":591.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":695.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":979.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":979.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1229.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1229.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":766.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":901.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1229.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1229.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":766.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":766.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":901.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1108.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1108.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":690.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":812.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1108.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1108.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":690.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":812.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":591.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":695.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":979.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":979.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":591.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":695.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":979.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":979.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":474.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":558.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":726.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1076.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1076.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":664.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":781.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1076.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1076.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":664.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":781.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":474.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":558.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":726.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":474.691,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":558.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":726.79,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN SITU HYBRIDIZATION EA ADDL PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88364","description":"IN SITU HYBRIDIZATION EA ADDL PROBE STAIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN SITU HYBRIDIZATION EA MULTIPLEX PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88366","description":"IN SITU HYBRIDIZATION EA MULTIPLEX PROBE STAIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-LINE CART CTG DIG ENZYME ENTERAL FEEDING EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4105","description":"IN-LINE CART CTG DIG ENZYME ENTERAL FEEDING EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.0,"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":null,"billing_code":"G9552","description":"INCIDENTAL THYROID NODULE  LT  1.0 CM NOTED REPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.08,"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":"2022","billing_code":"62148","description":"INCISE AND RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":325.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":383.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":325.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":383.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":246.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":289.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":246.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":289.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11107","description":"INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11107","description":"INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11106","description":"INCISIONAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11106","description":"INCISIONAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4537","description":"INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4537","description":"INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONT PROD PROTVE UNDPAD REUSABLE CHAIR SIZE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4540","description":"INCONT PROD PROTVE UNDPAD REUSABLE CHAIR SIZE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONT PROD PROTVE UNDPAD REUSABLE CHAIR SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4540","description":"INCONT PROD PROTVE UNDPAD REUSABLE CHAIR SIZE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONT PROD PROTVE UNDWEAR/PULLON REUSBL SIZE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4536","description":"INCONT PROD PROTVE UNDWEAR/PULLON REUSBL SIZE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONT PROD PROTVE UNDWEAR/PULLON REUSBL SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4536","description":"INCONT PROD PROTVE UNDWEAR/PULLON REUSBL SIZE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE PRODUCT DISPBL UNDPAD SMALL SIZE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4542","description":"INCONTINENCE PRODUCT DISPBL UNDPAD SMALL SIZE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE PRODUCT DISPBL UNDPAD SMALL SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4542","description":"INCONTINENCE PRODUCT DISPBL UNDPAD SMALL SIZE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE PRODUCT DISPOSABLE PENILE WRAP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4545","description":"INCONTINENCE PRODUCT DISPOSABLE PENILE WRAP EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE PRODUCT DISPOSABLE PENILE WRAP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4545","description":"INCONTINENCE PRODUCT DISPOSABLE PENILE WRAP EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE PRODUCT DISPOSABLE UNDPAD LARGE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4541","description":"INCONTINENCE PRODUCT DISPOSABLE UNDPAD LARGE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE PRODUCT DISPOSABLE UNDPAD LARGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4541","description":"INCONTINENCE PRODUCT DISPOSABLE UNDPAD LARGE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE SUPPLY RECTAL INSERT ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4337","description":"INCONTINENCE SUPPLY RECTAL INSERT ANY TYPE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE SUPPLY RECTAL INSERT ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4337","description":"INCONTINENCE SUPPLY RECTAL INSERT ANY TYPE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDEX ASMT CMPL USING 12-ITEM WHODAS 2.0/SDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1340","description":"INDEX ASMT CMPL USING 12-ITEM WHODAS 2.0/SDS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDEX ASMT CMPL USING 12-ITEM WHODAS 2.0/SDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1340","description":"INDEX ASMT CMPL USING 12-ITEM WHODAS 2.0/SDS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDEX ASSMNT DUR DENOM PRD SI A/O BX SX/INC SR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1359","description":"INDEX ASSMNT DUR DENOM PRD SI A/O BX SX/INC SR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDEX ASSMNT DUR DENOM PRD SI A/O BX SX/INC SR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1359","description":"INDEX ASSMNT DUR DENOM PRD SI A/O BX SX/INC SR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV COUNS PREP STAFF PRV HIV INC HIV RISK REDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0013","description":"INDIV COUNS PREP STAFF PRV HIV INC HIV RISK REDC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INDIV COUNS PREP STAFF PRV HIV INC HIV RISK REDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0013","description":"INDIV COUNS PREP STAFF PRV HIV INC HIV RISK REDC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90875","description":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90875","description":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90876","description":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90876","description":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"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":null,"billing_code":"G9513","description":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDV COUNS PREP PHYS PR HIV INC HIV RSK 15-30MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0011","description":"INDV COUNS PREP PHYS PR HIV INC HIV RSK 15-30MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDV COUNS PREP PHYS PR HIV INC HIV RSK 15-30MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0011","description":"INDV COUNS PREP PHYS PR HIV INC HIV RSK 15-30MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL IU DRAIN DEVC VLV PT INSRT REPLC ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4341","description":"INDWELL IU DRAIN DEVC VLV PT INSRT REPLC ONLY EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL IU DRAIN DEVC VLV PT INSRT REPLC ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4341","description":"INDWELL IU DRAIN DEVC VLV PT INSRT REPLC ONLY EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION ADMIN/PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1299","description":"INFLUENZA IMMUNIZATION ADMIN/PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ADMIN/PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1299","description":"INFLUENZA IMMUNIZATION ADMIN/PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NOT ADMIN RSNS DOC CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1300","description":"INFLUENZA IMMUNIZATION NOT ADMIN RSNS DOC CLIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NOT ADMIN RSNS DOC CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1300","description":"INFLUENZA IMMUNIZATION NOT ADMIN RSNS DOC CLIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4037F","description":"INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WAS NOT ADM NO REASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1308","description":"INFLUENZA IMMUNIZATION WAS NOT ADM NO REASON","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WAS NOT ADM NO REASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1308","description":"INFLUENZA IMMUNIZATION WAS NOT ADM NO REASON","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 VACC SPLIT VIRUS 3 YRS  and   GT  IM AFLURIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2035","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM AFLURIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM AFLURIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2035","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM AFLURIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VIRUS VACCINE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2039","description":"INFLUENZA VIRUS VACCINE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VIRUS VACCINE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2039","description":"INFLUENZA VIRUS VACCINE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.79,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4230","description":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4230","description":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SPL NOT USED W/EXT INFUS PUMP CASSETTE/BAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4223","description":"INFUS SPL NOT USED W/EXT INFUS PUMP CASSETTE/BAG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SPL NOT USED W/EXT INFUS PUMP CASSETTE/BAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4223","description":"INFUS SPL NOT USED W/EXT INFUS PUMP CASSETTE/BAG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":452.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4528.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4528.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":915.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":915.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9150.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9150.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":296.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2960.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2960.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4231","description":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4231","description":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGESTION CHALLENGE TEST INITIAL 120 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95076","description":"INGESTION CHALLENGE TEST INITIAL 120 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGESTION CHALLENGE TEST INITIAL 120 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95076","description":"INGESTION CHALLENGE TEST INITIAL 120 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.1525,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1670.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1670.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1233.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1233.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":95.1926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":95.1926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":95.7537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":95.7537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":96.7156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":96.7156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":95.1926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":95.1926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":95.7537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":95.7537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":96.7156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":96.7156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":284.59,"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":"2022","billing_code":"99477","description":"INITIAL HOSP NEONATE 28 D OR LT  NOT CRITICALLY ILL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":284.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 110 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99255","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 110 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 40 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99252","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 40 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 55 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99253","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 55 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 80 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99254","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 80 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL OPEN IMPLANTATION BAT MODULATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64654","description":"INITIAL OPEN IMPLANTATION BAT MODULATION SYSTEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":375.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":441.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL OPEN IMPLANTATION BAT MODULATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64654","description":"INITIAL OPEN IMPLANTATION BAT MODULATION SYSTEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":375.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":441.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":441.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":394.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":464.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":394.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":464.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":589.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":694.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":589.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":694.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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  LT 1YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99381","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT  LT 1YEAR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT  LT 1YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99381","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT  LT 1YEAR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.03,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.26,"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":"2022","billing_code":"99386","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99382","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99382","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99384","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99384","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99383","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99383","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.77,"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":"2022","billing_code":"J0129","description":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ACETAMINOPHEN HIKMA NOT EQUIV TO J0131 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0137","description":"INJ ACETAMINOPHEN HIKMA NOT EQUIV TO J0131 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ACETAMINOPHEN HIKMA NOT EQUIV TO J0131 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0137","description":"INJ ACETAMINOPHEN HIKMA NOT EQUIV TO J0131 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9354","description":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9354","description":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AFLIBERCEPT YSZY OPUVIZ BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5153","description":"INJ AFLIBERCEPT YSZY OPUVIZ BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AFLIBERCEPT YSZY OPUVIZ BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5153","description":"INJ AFLIBERCEPT YSZY OPUVIZ BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AMIODARONE HYDROCHLORIDE 30 MG NEXTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0283","description":"INJ AMIODARONE HYDROCHLORIDE 30 MG NEXTERONE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AMIODARONE HYDROCHLORIDE 30 MG NEXTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0283","description":"INJ AMIODARONE HYDROCHLORIDE 30 MG NEXTERONE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ APAP FRESENIUS KABI NOT EQ TO J0131 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0134","description":"INJ APAP FRESENIUS KABI NOT EQ TO J0131 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ APAP FRESENIUS KABI NOT EQ TO J0131 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0134","description":"INJ APAP FRESENIUS KABI NOT EQ TO J0131 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ARGATROBAN NOT THER EQUIVALENT TO J0884 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0892","description":"INJ ARGATROBAN NOT THER EQUIVALENT TO J0884 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ARGATROBAN NOT THER EQUIVALENT TO J0884 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0892","description":"INJ ARGATROBAN NOT THER EQUIVALENT TO J0884 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ARIPIPRAZOLE LAUROXIL ARISTADA INITIOL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1943","description":"INJ ARIPIPRAZOLE LAUROXIL ARISTADA INITIOL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ARIPIPRAZOLE LAUROXIL ARISTADA INITIOL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1943","description":"INJ ARIPIPRAZOLE LAUROXIL ARISTADA INITIOL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ATROPINE SULF NOT THER EQ TO J0461 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0462","description":"INJ ATROPINE SULF NOT THER EQ TO J0461 0.01 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ATROPINE SULF NOT THER EQ TO J0461 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0462","description":"INJ ATROPINE SULF NOT THER EQ TO J0461 0.01 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AZTREONAM/AVIBACTAM 7.5 MG/2.5 MG 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0458","description":"INJ AZTREONAM/AVIBACTAM 7.5 MG/2.5 MG 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AZTREONAM/AVIBACTAM 7.5 MG/2.5 MG 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0458","description":"INJ AZTREONAM/AVIBACTAM 7.5 MG/2.5 MG 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BEVACIZUMAB-MALY BIOSIMILAR (ALYMSYS) 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5126","description":"INJ BEVACIZUMAB-MALY BIOSIMILAR (ALYMSYS) 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BEVACIZUMAB-MALY BIOSIMILAR (ALYMSYS) 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5126","description":"INJ BEVACIZUMAB-MALY BIOSIMILAR (ALYMSYS) 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BIVALIRUDIN ENDO NOT THER EQ TO J0583 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0582","description":"INJ BIVALIRUDIN ENDO NOT THER EQ TO J0583 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BIVALIRUDIN ENDO NOT THER EQ TO J0583 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0582","description":"INJ BIVALIRUDIN ENDO NOT THER EQ TO J0583 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BORTEZOMB HOSPIRA NOT TX EQV TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9049","description":"INJ BORTEZOMB HOSPIRA NOT TX EQV TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BORTEZOMB HOSPIRA NOT TX EQV TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9049","description":"INJ BORTEZOMB HOSPIRA NOT TX EQV TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BORTEZOMIB NOT THER EQUIV TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9046","description":"INJ BORTEZOMIB NOT THER EQUIV TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BORTEZOMIB NOT THER EQUIV TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9046","description":"INJ BORTEZOMIB NOT THER EQUIV TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BTZ FRESENIUS KABI NOT TX EQV TO J9041 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9048","description":"INJ BTZ FRESENIUS KABI NOT TX EQV TO J9041 0.1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BTZ FRESENIUS KABI NOT TX EQV TO J9041 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9048","description":"INJ BTZ FRESENIUS KABI NOT TX EQV TO J9041 0.1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":422.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":675.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":675.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":214.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BULKING AGT VOCAL CORD MEDIALIZATION 0.1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8607","description":"INJ BULKING AGT VOCAL CORD MEDIALIZATION 0.1 ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CEFAZOLIN SODIUM NOT THR EQV TO J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0688","description":"INJ CEFAZOLIN SODIUM NOT THR EQV TO J0690 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CEFAZOLIN SODIUM NOT THR EQV TO J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0688","description":"INJ CEFAZOLIN SODIUM NOT THR EQV TO J0690 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0703","description":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0703","description":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0701","description":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0701","description":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CHLOROPROCAINE HYDROCHLO CLOROTEKAL PER 1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2402","description":"INJ CHLOROPROCAINE HYDROCHLO CLOROTEKAL PER 1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CHLOROPROCAINE HYDROCHLO CLOROTEKAL PER 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2402","description":"INJ CHLOROPROCAINE HYDROCHLO CLOROTEKAL PER 1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CROTALIDAE POLYVALENT IMMUNE FAB UP TO 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0840","description":"INJ CROTALIDAE POLYVALENT IMMUNE FAB UP TO 1 G","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1826.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1826.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1841.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1841.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CROTALIDAE POLYVALENT IMMUNE FAB UP TO 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0840","description":"INJ CROTALIDAE POLYVALENT IMMUNE FAB UP TO 1 G","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1826.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1826.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1841.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1841.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DAP UNREFRIGRATD NOT THR EQ J0878/J0873 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0872","description":"INJ DAP UNREFRIGRATD NOT THR EQ J0878/J0873 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DAP UNREFRIGRATD NOT THR EQ J0878/J0873 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0872","description":"INJ DAP UNREFRIGRATD NOT THR EQ J0878/J0873 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DAPTOMYCIN NOT EQUIV TO J0878 OR J0872 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0873","description":"INJ DAPTOMYCIN NOT EQUIV TO J0878 OR J0872 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DAPTOMYCIN NOT EQUIV TO J0878 OR J0872 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0873","description":"INJ DAPTOMYCIN NOT EQUIV TO J0878 OR J0872 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DENOSUMAB-BNHT BOMYNTRA/CONEXXENCE BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5158","description":"INJ DENOSUMAB-BNHT BOMYNTRA/CONEXXENCE BS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DENOSUMAB-BNHT BOMYNTRA/CONEXXENCE BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5158","description":"INJ DENOSUMAB-BNHT BOMYNTRA/CONEXXENCE BS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2049","description":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":508.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2049","description":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":508.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EFGARTIGIMOD ALFA 2 MG  and  HYALURONIDASE-QVFC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9334","description":"INJ EFGARTIGIMOD ALFA 2 MG  and  HYALURONIDASE-QVFC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EFGARTIGIMOD ALFA 2 MG  and  HYALURONIDASE-QVFC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9334","description":"INJ EFGARTIGIMOD ALFA 2 MG  and  HYALURONIDASE-QVFC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EFGARTIGIMOD ALFA-FCAB 2MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9332","description":"INJ EFGARTIGIMOD ALFA-FCAB 2MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EFGARTIGIMOD ALFA-FCAB 2MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9332","description":"INJ EFGARTIGIMOD ALFA-FCAB 2MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPI FRESENIUS KABI NOT EQUIV TO J0165 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0162","description":"INJ EPI FRESENIUS KABI NOT EQUIV TO J0165 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPI FRESENIUS KABI NOT EQUIV TO J0165 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0162","description":"INJ EPI FRESENIUS KABI NOT EQUIV TO J0165 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0169","description":"INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0169","description":"INJ EPINEPHRINE ADRENALIN NT TX EQ J0165 0.1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE BPI NOT TX EQUIV TO J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0166","description":"INJ EPINEPHRINE BPI NOT TX EQUIV TO J0165 0.1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE BPI NOT TX EQUIV TO J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0166","description":"INJ EPINEPHRINE BPI NOT TX EQUIV TO J0165 0.1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE HOSPIRA NOT TX EQ TO J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0167","description":"INJ EPINEPHRINE HOSPIRA NOT TX EQ TO J0165 0.1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE HOSPIRA NOT TX EQ TO J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0167","description":"INJ EPINEPHRINE HOSPIRA NOT TX EQ TO J0165 0.1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE IN SODIUM CHLORIDE BAXTER 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0164","description":"INJ EPINEPHRINE IN SODIUM CHLORIDE BAXTER 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE IN SODIUM CHLORIDE BAXTER 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0164","description":"INJ EPINEPHRINE IN SODIUM CHLORIDE BAXTER 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE IN SODIUM CHLORIDE ENDO 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0163","description":"INJ EPINEPHRINE IN SODIUM CHLORIDE ENDO 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE IN SODIUM CHLORIDE ENDO 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0163","description":"INJ EPINEPHRINE IN SODIUM CHLORIDE ENDO 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE INT MD SYS NOT TX EQ J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0168","description":"INJ EPINEPHRINE INT MD SYS NOT TX EQ J0165 0.1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE INT MD SYS NOT TX EQ J0165 0.1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0168","description":"INJ EPINEPHRINE INT MD SYS NOT TX EQ J0165 0.1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPOETIN ALFA 100 UNITS FOR ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4081","description":"INJ EPOETIN ALFA 100 UNITS FOR ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPOETIN ALFA 100 UNITS FOR ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4081","description":"INJ EPOETIN ALFA 100 UNITS FOR ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ES HYDROCHLORDE NOT THR EQUIV TO J1805 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1806","description":"INJ ES HYDROCHLORDE NOT THR EQUIV TO J1805 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ES HYDROCHLORDE NOT THR EQUIV TO J1805 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1806","description":"INJ ES HYDROCHLORDE NOT THR EQUIV TO J1805 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ETRANACOGENE DEZAPARVOVEC-DRLB PER THR DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1411","description":"INJ ETRANACOGENE DEZAPARVOVEC-DRLB PER THR DOSE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ETRANACOGENE DEZAPARVOVEC-DRLB PER THR DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1411","description":"INJ ETRANACOGENE DEZAPARVOVEC-DRLB PER THR DOSE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FAC VIII ANTIHEM FAC GLYCOPEGYLATD-EXEI P-IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7204","description":"INJ FAC VIII ANTIHEM FAC GLYCOPEGYLATD-EXEI P-IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FAC VIII ANTIHEM FAC GLYCOPEGYLATD-EXEI P-IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7204","description":"INJ FAC VIII ANTIHEM FAC GLYCOPEGYLATD-EXEI P-IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FAC VIII ANTIHMOPHLC FAC RECOMB OBIZUR PR IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7188","description":"INJ FAC VIII ANTIHMOPHLC FAC RECOMB OBIZUR PR IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FAC VIII ANTIHMOPHLC FAC RECOMB OBIZUR PR IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7188","description":"INJ FAC VIII ANTIHMOPHLC FAC RECOMB OBIZUR PR IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG FOR ESRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0139","description":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG FOR ESRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG FOR ESRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0139","description":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG FOR ESRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG NON-ESRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0138","description":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG NON-ESRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG NON-ESRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0138","description":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG NON-ESRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FOSNETUPITANT 235 MG  AND  PALONOSETRON 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1454","description":"INJ FOSNETUPITANT 235 MG  AND  PALONOSETRON 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":524.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":546.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FOSNETUPITANT 235 MG  AND  PALONOSETRON 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1454","description":"INJ FOSNETUPITANT 235 MG  AND  PALONOSETRON 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":524.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":546.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2009","description":"INJ FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2009","description":"INJ FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FUL FRESENIUS KABI NOT TX EQV TO J9395 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9394","description":"INJ FUL FRESENIUS KABI NOT TX EQV TO J9395 25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FUL FRESENIUS KABI NOT TX EQV TO J9395 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9394","description":"INJ FUL FRESENIUS KABI NOT TX EQV TO J9395 25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9577","description":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9577","description":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9578","description":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9578","description":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GCM SODIUM NOT THR EQUIV TO J1570 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1574","description":"INJ GCM SODIUM NOT THR EQUIV TO J1570 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GCM SODIUM NOT THR EQUIV TO J1570 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1574","description":"INJ GCM SODIUM NOT THR EQUIV TO J1570 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HCI NOT THR EQUIV J9201 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9196","description":"INJ GEMCITABINE HCI NOT THR EQUIV J9201 200 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HCI NOT THR EQUIV J9201 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9196","description":"INJ GEMCITABINE HCI NOT THR EQUIV J9201 200 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9198","description":"INJ GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9198","description":"INJ GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HYDROCHLORIDE INFUGEM 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9198","description":"INJ GEMCITABINE HYDROCHLORIDE INFUGEM 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GLUCAGON HYDROCHLORIDE NOT TX EQV J1610/1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1611","description":"INJ GLUCAGON HYDROCHLORIDE NOT TX EQV J1610/1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GLUCAGON HYDROCHLORIDE NOT TX EQV J1610/1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1611","description":"INJ GLUCAGON HYDROCHLORIDE NOT TX EQV J1610/1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":296.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":296.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG GAMMAPLEX IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1557","description":"INJ IG GAMMAPLEX IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG GAMMAPLEX IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1557","description":"INJ IG GAMMAPLEX IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1557","description":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN/HYALURONIDASE 100 MG IG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1575","description":"INJ IMMUNE GLOBULIN/HYALURONIDASE 100 MG IG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN/HYALURONIDASE 100 MG IG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1575","description":"INJ IMMUNE GLOBULIN/HYALURONIDASE 100 MG IG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMP 4 MG CILASTATIN 4 MG  and  RELEBACTAM 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0742","description":"INJ IMP 4 MG CILASTATIN 4 MG  and  RELEBACTAM 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMP 4 MG CILASTATIN 4 MG  and  RELEBACTAM 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0742","description":"INJ IMP 4 MG CILASTATIN 4 MG  and  RELEBACTAM 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5121","description":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5121","description":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LABE HYDROCHLORIDE NOT EQUIV TO J1920 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1921","description":"INJ LABE HYDROCHLORIDE NOT EQUIV TO J1920 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LABE HYDROCHLORIDE NOT EQUIV TO J1920 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1921","description":"INJ LABE HYDROCHLORIDE NOT EQUIV TO J1920 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LENACAPAVIR 1 MG RX ONLY FOR USE AS HIV PREP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0738","description":"INJ LENACAPAVIR 1 MG RX ONLY FOR USE AS HIV PREP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LENACAPAVIR 1 MG RX ONLY FOR USE AS HIV PREP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0738","description":"INJ LENACAPAVIR 1 MG RX ONLY FOR USE AS HIV PREP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEUPROLIDE ACETATE DEPOT SUSP LUT DEP 7.5MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1954","description":"INJ LEUPROLIDE ACETATE DEPOT SUSP LUT DEP 7.5MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":693.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":706.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEUPROLIDE ACETATE DEPOT SUSP LUT DEP 7.5MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1954","description":"INJ LEUPROLIDE ACETATE DEPOT SUSP LUT DEP 7.5MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":693.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":706.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEV NA FRESENIUS KABI NOT EQ TO J0650 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0651","description":"INJ LEV NA FRESENIUS KABI NOT EQ TO J0650 10 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEV NA FRESENIUS KABI NOT EQ TO J0650 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0651","description":"INJ LEV NA FRESENIUS KABI NOT EQ TO J0650 10 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEV SODIUM HIKMA NOT EQUIV TO J0650 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0652","description":"INJ LEV SODIUM HIKMA NOT EQUIV TO J0650 10 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEV SODIUM HIKMA NOT EQUIV TO J0650 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0652","description":"INJ LEV SODIUM HIKMA NOT EQUIV TO J0650 10 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MDZ IN 0.8 PCT  NSVL IV NOT THR EQ TO J2250 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2252","description":"INJ MDZ IN 0.8 PCT  NSVL IV NOT THR EQ TO J2250 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MDZ IN 0.8 PCT  NSVL IV NOT THR EQ TO J2250 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2252","description":"INJ MDZ IN 0.8 PCT  NSVL IV NOT THR EQ TO J2250 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MDZ IN 0.9 PCT  NACL IV NOT THER EQ J2250 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2251","description":"INJ MDZ IN 0.9 PCT  NACL IV NOT THER EQ J2250 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MDZ IN 0.9 PCT  NACL IV NOT THER EQ J2250 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2251","description":"INJ MDZ IN 0.9 PCT  NACL IV NOT THER EQ J2250 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ METHOTREXATE NOT THR EQV TO J9260 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9255","description":"INJ METHOTREXATE NOT THR EQV TO J9260 50 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ METHOTREXATE NOT THR EQV TO J9260 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9255","description":"INJ METHOTREXATE NOT THR EQV TO J9260 50 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MICAFUNGIN SODIUM NOT THERP EQUIV J2248/ 1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2247","description":"INJ MICAFUNGIN SODIUM NOT THERP EQUIV J2248/ 1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MICAFUNGIN SODIUM NOT THERP EQUIV J2248/ 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2247","description":"INJ MICAFUNGIN SODIUM NOT THERP EQUIV J2248/ 1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2272","description":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2272","description":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MOXIFLOXACIN NOT THR EQUIV TO J2280 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2281","description":"INJ MOXIFLOXACIN NOT THR EQUIV TO J2280 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MOXIFLOXACIN NOT THR EQUIV TO J2280 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2281","description":"INJ MOXIFLOXACIN NOT THR EQUIV TO J2280 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ NEOSTIGMINE ME2S 0.1 MG  and  GLYC 0.02 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2711","description":"INJ NEOSTIGMINE ME2S 0.1 MG  and  GLYC 0.02 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ NEOSTIGMINE ME2S 0.1 MG  and  GLYC 0.02 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2711","description":"INJ NEOSTIGMINE ME2S 0.1 MG  and  GLYC 0.02 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEGFILGRASTIM-BMEZ BIOSIMLR ZIEXTENZO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5120","description":"INJ PEGFILGRASTIM-BMEZ BIOSIMLR ZIEXTENZO 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED BLUEPOINT NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9322","description":"INJ PEMETREXED BLUEPOINT NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED BLUEPOINT NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9322","description":"INJ PEMETREXED BLUEPOINT NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED SANDOZ NOT THR EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9297","description":"INJ PEMETREXED SANDOZ NOT THR EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED SANDOZ NOT THR EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9297","description":"INJ PEMETREXED SANDOZ NOT THR EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PERTUZUMAB TRASTUZUMAB  and  HYAL-ZZXF PER 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9316","description":"INJ PERTUZUMAB TRASTUZUMAB  and  HYAL-ZZXF PER 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PERTUZUMAB TRASTUZUMAB  and  HYAL-ZZXF PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9316","description":"INJ PERTUZUMAB TRASTUZUMAB  and  HYAL-ZZXF PER 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PRT CMPLX CONC HMN-LANS PER I.U. FAC IX ACTV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7165","description":"INJ PRT CMPLX CONC HMN-LANS PER I.U. FAC IX ACTV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PRT CMPLX CONC HMN-LANS PER I.U. FAC IX ACTV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7165","description":"INJ PRT CMPLX CONC HMN-LANS PER I.U. FAC IX ACTV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2779","description":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2779","description":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5119","description":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5119","description":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ SN 3 MG  and  SODIUM THIOSULFATE 125 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0211","description":"INJ SN 3 MG  and  SODIUM THIOSULFATE 125 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ SN 3 MG  and  SODIUM THIOSULFATE 125 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0211","description":"INJ SN 3 MG  and  SODIUM THIOSULFATE 125 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9325","description":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9325","description":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2125.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2125.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2125.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2125.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2125.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2125.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2125.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2125.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB KFCE YESINTEK BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5100","description":"INJ USTEKINUMAB KFCE YESINTEK BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB KFCE YESINTEK BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5100","description":"INJ USTEKINUMAB KFCE YESINTEK BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB STBA STEQEYMA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5099","description":"INJ USTEKINUMAB STBA STEQEYMA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB STBA STEQEYMA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5099","description":"INJ USTEKINUMAB STBA STEQEYMA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VANCOMYCIN HCI MYLAN NOT TX EQUIV J3373 10MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3374","description":"INJ VANCOMYCIN HCI MYLAN NOT TX EQUIV J3373 10MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VANCOMYCIN HCI MYLAN NOT TX EQUIV J3373 10MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3374","description":"INJ VANCOMYCIN HCI MYLAN NOT TX EQUIV J3373 10MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VANCOMYCIN HCL HIKMA NOT EQ TO J3373 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3376","description":"INJ VANCOMYCIN HCL HIKMA NOT EQ TO J3373 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VANCOMYCIN HCL HIKMA NOT EQ TO J3373 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3376","description":"INJ VANCOMYCIN HCL HIKMA NOT EQ TO J3373 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VAS LONG GROVE NOT THER EQ TO J2598 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2596","description":"INJ VAS LONG GROVE NOT THER EQ TO J2598 1 UNIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VAS LONG GROVE NOT THER EQ TO J2598 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2596","description":"INJ VAS LONG GROVE NOT THER EQ TO J2598 1 UNIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VASOPRESSIN NOT THR EQUIV TO J2598 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2599","description":"INJ VASOPRESSIN NOT THR EQUIV TO J2598 1 UNIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VASOPRESSIN NOT THR EQUIV TO J2598 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2599","description":"INJ VASOPRESSIN NOT THR EQUIV TO J2598 1 UNIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VON WILLEBRAND FACTR COMPLEX WILATE 1 IU:RCO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7183","description":"INJ VON WILLEBRAND FACTR COMPLEX WILATE 1 IU:RCO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VON WILLEBRAND FACTR COMPLEX WILATE 1 IU:RCO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7183","description":"INJ VON WILLEBRAND FACTR COMPLEX WILATE 1 IU:RCO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT AFLIBERCEPT-JBVF YESAFILI BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5155","description":"INJECT AFLIBERCEPT-JBVF YESAFILI BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT AFLIBERCEPT-JBVF YESAFILI BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5155","description":"INJECT AFLIBERCEPT-JBVF YESAFILI BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0883 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0898","description":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0883 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0883 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0898","description":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0883 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0884 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0899","description":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0884 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0884 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0899","description":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0884 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT DENOSUMAB-BMWO STOBOCLO/OSENVELT BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5157","description":"INJECT DENOSUMAB-BMWO STOBOCLO/OSENVELT BS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT DENOSUMAB-BMWO STOBOCLO/OSENVELT BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5157","description":"INJECT DENOSUMAB-BMWO STOBOCLO/OSENVELT BS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT FOSAPREPITANT NOT THERAP EQUIV J1453 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1456","description":"INJECT FOSAPREPITANT NOT THERAP EQUIV J1453 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT FOSAPREPITANT NOT THERAP EQUIV J1453 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1456","description":"INJECT FOSAPREPITANT NOT THERAP EQUIV J1453 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT FULVESTRANT NOT THR EQUIV TO J9395 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9393","description":"INJECT FULVESTRANT NOT THR EQUIV TO J9395 25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT FULVESTRANT NOT THR EQUIV TO J9395 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9393","description":"INJECT FULVESTRANT NOT THR EQUIV TO J9395 25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT GLY FRESENIUS KAB NOT THR EQ J1596 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1598","description":"INJECT GLY FRESENIUS KAB NOT THR EQ J1596 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT GLY FRESENIUS KAB NOT THR EQ J1596 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1598","description":"INJECT GLY FRESENIUS KAB NOT THR EQ J1596 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT HEPARIN SOD NOT THERAP EQUIV J1644/1000 U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1643","description":"INJECT HEPARIN SOD NOT THERAP EQUIV J1644/1000 U","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT HEPARIN SOD NOT THERAP EQUIV J1644/1000 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1643","description":"INJECT HEPARIN SOD NOT THERAP EQUIV J1644/1000 U","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT LENACAPAVIR ONLY FOR USE AS HIV TX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1961","description":"INJECT LENACAPAVIR ONLY FOR USE AS HIV TX 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT LENACAPAVIR ONLY FOR USE AS HIV TX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1961","description":"INJECT LENACAPAVIR ONLY FOR USE AS HIV TX 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT MICAFUNGIN SODIUM NOT THR EQ J2248 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2246","description":"INJECT MICAFUNGIN SODIUM NOT THR EQ J2248 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT MICAFUNGIN SODIUM NOT THR EQ J2248 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2246","description":"INJECT MICAFUNGIN SODIUM NOT THR EQ J2248 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2506","description":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2506","description":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT PEMIVIBART PRE-EP ONLY FOR CERT ADT  and  ADO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0224","description":"INJECT PEMIVIBART PRE-EP ONLY FOR CERT ADT  and  ADO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7239.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7239.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT PEMIVIBART PRE-EP ONLY FOR CERT ADT  and  ADO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0224","description":"INJECT PEMIVIBART PRE-EP ONLY FOR CERT ADT  and  ADO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7239.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7239.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECT TOCILIZUMAB-ANOH AVTOZMA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5156","description":"INJECT TOCILIZUMAB-ANOH AVTOZMA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT TOCILIZUMAB-ANOH AVTOZMA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5156","description":"INJECT TOCILIZUMAB-ANOH AVTOZMA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3304","description":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3304","description":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT USTEKINUMAB SRLF IMULDOSA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5098","description":"INJECT USTEKINUMAB SRLF IMULDOSA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT USTEKINUMAB SRLF IMULDOSA BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5098","description":"INJECT USTEKINUMAB SRLF IMULDOSA BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":558.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":558.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":558.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":558.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.795,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD GENICULAR NRV BRANCHES W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64454","description":"INJECTION AA and /STRD GENICULAR NRV BRANCHES W/IMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD GENICULAR NRV BRANCHES W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64454","description":"INJECTION AA and /STRD GENICULAR NRV BRANCHES W/IMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD NERVES NRVTG SI JOINT W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64451","description":"INJECTION AA and /STRD NERVES NRVTG SI JOINT W/IMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD NERVES NRVTG SI JOINT W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64451","description":"INJECTION AA and /STRD NERVES NRVTG SI JOINT W/IMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ABCIXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0130","description":"INJECTION ABCIXIMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1429.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1429.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ABCIXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0130","description":"INJECTION ABCIXIMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1429.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1429.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAMINOPHEN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0131","description":"INJECTION ACETAMINOPHEN 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAMINOPHEN 10 MG AND IBUPROFEN 3 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0138","description":"INJECTION ACETAMINOPHEN 10 MG AND IBUPROFEN 3 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAMINOPHEN 10 MG AND IBUPROFEN 3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0138","description":"INJECTION ACETAMINOPHEN 10 MG AND IBUPROFEN 3 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAMINOPHEN NOT OTHERWISE SPEC 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0131","description":"INJECTION ACETAMINOPHEN NOT OTHERWISE SPEC 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAMINOPHEN NOT OTHERWISE SPEC 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0131","description":"INJECTION ACETAMINOPHEN NOT OTHERWISE SPEC 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0139","description":"INJECTION ADALIMUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0139","description":"INJECTION ADALIMUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-AACF IDACIO BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5144","description":"INJECTION ADALIMUMAB-AACF IDACIO BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-AACF IDACIO BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5144","description":"INJECTION ADALIMUMAB-AACF IDACIO BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-AATY BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5141","description":"INJECTION ADALIMUMAB-AATY BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-AATY BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5141","description":"INJECTION ADALIMUMAB-AATY BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-ADBM BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5143","description":"INJECTION ADALIMUMAB-ADBM BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-ADBM BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5143","description":"INJECTION ADALIMUMAB-ADBM BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-AFZB ABRILADA BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5145","description":"INJECTION ADALIMUMAB-AFZB ABRILADA BS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-AFZB ABRILADA BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5145","description":"INJECTION ADALIMUMAB-AFZB ABRILADA BS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-FKJP BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5140","description":"INJECTION ADALIMUMAB-FKJP BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-FKJP BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5140","description":"INJECTION ADALIMUMAB-FKJP BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-RYVK BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5142","description":"INJECTION ADALIMUMAB-RYVK BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADALIMUMAB-RYVK BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5142","description":"INJECTION ADALIMUMAB-RYVK BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADAMTS13 RECOMBINANT-KRHN 10 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7171","description":"INJECTION ADAMTS13 RECOMBINANT-KRHN 10 IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADAMTS13 RECOMBINANT-KRHN 10 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7171","description":"INJECTION ADAMTS13 RECOMBINANT-KRHN 10 IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0178","description":"INJECTION AFLIBERCEPT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":731.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":763.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0178","description":"INJECTION AFLIBERCEPT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":731.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":763.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":763.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT ABZV ENZEEVU BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5149","description":"INJECTION AFLIBERCEPT ABZV ENZEEVU BS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT ABZV ENZEEVU BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5149","description":"INJECTION AFLIBERCEPT ABZV ENZEEVU BS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT AYYH PAVBLU BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5147","description":"INJECTION AFLIBERCEPT AYYH PAVBLU BS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":821.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":866.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT AYYH PAVBLU BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5147","description":"INJECTION AFLIBERCEPT AYYH PAVBLU BS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":821.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":821.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":866.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":866.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT HD 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0177","description":"INJECTION AFLIBERCEPT HD 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":306.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT HD 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0177","description":"INJECTION AFLIBERCEPT HD 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":306.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT MRBB AHZANTIVE BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5150","description":"INJECTION AFLIBERCEPT MRBB AHZANTIVE BS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT MRBB AHZANTIVE BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5150","description":"INJECTION AFLIBERCEPT MRBB AHZANTIVE BS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":227.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":227.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2110.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2110.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2110.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2110.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALEMTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0202","description":"INJECTION ALEMTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2440.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2440.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2447.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2447.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALEMTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0202","description":"INJECTION ALEMTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2440.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2440.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2447.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2447.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALFENTANIL HCL 500 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0216","description":"INJECTION ALFENTANIL HCL 500 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALFENTANIL HCL 500 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0216","description":"INJECTION ALFENTANIL HCL 500 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALGLUCOSIDASE ALFA LUMIZYME 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0221","description":"INJECTION ALGLUCOSIDASE ALFA LUMIZYME 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALGLUCOSIDASE ALFA LUMIZYME 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0221","description":"INJECTION ALGLUCOSIDASE ALFA LUMIZYME 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALLOPURINOL SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0206","description":"INJECTION ALLOPURINOL SODIUM 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALLOPURINOL SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0206","description":"INJECTION ALLOPURINOL SODIUM 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0257","description":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0257","description":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPROSTADIL 1.25 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0270","description":"INJECTION ALPROSTADIL 1.25 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPROSTADIL 1.25 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0270","description":"INJECTION ALPROSTADIL 1.25 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1135.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1135.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOCAPROIC ACID 1 GRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0281","description":"INJECTION AMINOCAPROIC ACID 1 GRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOCAPROIC ACID 1 GRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0281","description":"INJECTION AMINOCAPROIC ACID 1 GRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMISULPRIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0184","description":"INJECTION AMISULPRIDE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMISULPRIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0184","description":"INJECTION AMISULPRIDE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANIFROLUMAB-FNIA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0491","description":"INJECTION ANIFROLUMAB-FNIA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANIFROLUMAB-FNIA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0491","description":"INJECTION ANIFROLUMAB-FNIA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APAP B BRAUN NOT EQUIV TO J0131 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0136","description":"INJECTION APAP B BRAUN NOT EQUIV TO J0131 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APAP B BRAUN NOT EQUIV TO J0131 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0136","description":"INJECTION APAP B BRAUN NOT EQUIV TO J0131 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0364","description":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0364","description":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APREPITANT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0185","description":"INJECTION APREPITANT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APREPITANT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8502","description":"INJECTION APREPITANT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APREPITANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0185","description":"INJECTION APREPITANT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APREPITANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8502","description":"INJECTION APREPITANT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0884","description":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0884","description":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN 1 MG NON-ESRD USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0883","description":"INJECTION ARGATROBAN 1 MG NON-ESRD USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN 1 MG NON-ESRD USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0883","description":"INJECTION ARGATROBAN 1 MG NON-ESRD USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN NOT THER EQV TO J0883 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0891","description":"INJECTION ARGATROBAN NOT THER EQV TO J0883 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN NOT THER EQV TO J0883 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0891","description":"INJECTION ARGATROBAN NOT THER EQV TO J0883 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0401","description":"INJECTION ARIPIPRAZOLE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0402","description":"INJECTION ARIPIPRAZOLE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0401","description":"INJECTION ARIPIPRAZOLE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0402","description":"INJECTION ARIPIPRAZOLE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE EXTENDED RELEASE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0401","description":"INJECTION ARIPIPRAZOLE EXTENDED RELEASE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1943","description":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1944","description":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE LAUROXIL ARISTADA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1944","description":"INJECTION ARIPIPRAZOLE LAUROXIL ARISTADA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE LAUROXIL ARISTADA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1944","description":"INJECTION ARIPIPRAZOLE LAUROXIL ARISTADA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARTESUNATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0391","description":"INJECTION ARTESUNATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARTESUNATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0391","description":"INJECTION ARTESUNATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATEZOLIZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9022","description":"INJECTION ATEZOLIZUMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATEZOLIZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9022","description":"INJECTION ATEZOLIZUMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATEZOLIZUMAB 5 MG  and  HYALURONIDASE TQJS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9024","description":"INJECTION ATEZOLIZUMAB 5 MG  and  HYALURONIDASE TQJS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATEZOLIZUMAB 5 MG  and  HYALURONIDASE TQJS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9024","description":"INJECTION ATEZOLIZUMAB 5 MG  and  HYALURONIDASE TQJS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATIDARSAGENE AUTOTEMCEL PER TRTMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3391","description":"INJECTION ATIDARSAGENE AUTOTEMCEL PER TRTMNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATIDARSAGENE AUTOTEMCEL PER TRTMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3391","description":"INJECTION ATIDARSAGENE AUTOTEMCEL PER TRTMNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVACINCAPTAD PEGOL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2782","description":"INJECTION AVACINCAPTAD PEGOL 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVACINCAPTAD PEGOL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2782","description":"INJECTION AVACINCAPTAD PEGOL 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVALGLUCOSIDASE ALFA-NGPT 4 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0219","description":"INJECTION AVALGLUCOSIDASE ALFA-NGPT 4 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVALGLUCOSIDASE ALFA-NGPT 4 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0219","description":"INJECTION AVALGLUCOSIDASE ALFA-NGPT 4 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVELUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9023","description":"INJECTION AVELUMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVELUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9023","description":"INJECTION AVELUMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AXATILIMAB CSFR 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9038","description":"INJECTION AXATILIMAB CSFR 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AXATILIMAB CSFR 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9038","description":"INJECTION AXATILIMAB CSFR 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZTREONAM 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0457","description":"INJECTION AZTREONAM 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZTREONAM 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0457","description":"INJECTION AZTREONAM 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4781.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4781.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4812.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4812.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4781.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4781.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4812.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4812.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELATACEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0485","description":"INJECTION BELATACEPT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELATACEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0485","description":"INJECTION BELATACEPT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELINOSTAT 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9032","description":"INJECTION BELINOSTAT 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELINOSTAT 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9032","description":"INJECTION BELINOSTAT 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9034","description":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9034","description":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL VIVIMUSTA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9056","description":"INJECTION BENDAMUSTINE HCL VIVIMUSTA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL VIVIMUSTA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9056","description":"INJECTION BENDAMUSTINE HCL VIVIMUSTA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9036","description":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9036","description":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENRALIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0517","description":"INJECTION BENRALIZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENRALIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0517","description":"INJECTION BENRALIZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BETIBEGLOGENE AUTOTEMCEL PER TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3393","description":"INJECTION BETIBEGLOGENE AUTOTEMCEL PER TREATMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BETIBEGLOGENE AUTOTEMCEL PER TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3393","description":"INJECTION BETIBEGLOGENE AUTOTEMCEL PER TREATMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9257","description":"INJECTION BEVACIZUMAB 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-ADCD BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5129","description":"INJECTION BEVACIZUMAB-ADCD BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-ADCD BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5129","description":"INJECTION BEVACIZUMAB-ADCD BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5107","description":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5107","description":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-BVCR BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5118","description":"INJECTION BEVACIZUMAB-BVCR BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-BVZR BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5118","description":"INJECTION BEVACIZUMAB-BVZR BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-BVZR BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5118","description":"INJECTION BEVACIZUMAB-BVZR BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-NWGD JOBEVNE BS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5160","description":"INJECTION BEVACIZUMAB-NWGD JOBEVNE BS 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-NWGD JOBEVNE BS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5160","description":"INJECTION BEVACIZUMAB-NWGD JOBEVNE BS 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEZLOTOXUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0565","description":"INJECTION BEZLOTOXUMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEZLOTOXUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0565","description":"INJECTION BEZLOTOXUMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BLINATUMOMAB 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9039","description":"INJECTION BLINATUMOMAB 1 MICROGRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BLINATUMOMAB 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9039","description":"INJECTION BLINATUMOMAB 1 MICROGRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB BORUZU 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9054","description":"INJECTION BORTEZOMIB BORUZU 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB BORUZU 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9054","description":"INJECTION BORTEZOMIB BORUZU 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB NOT TE TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9051","description":"INJECTION BORTEZOMIB NOT TE TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB NOT TE TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9051","description":"INJECTION BORTEZOMIB NOT TE TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BREXANOLONE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1632","description":"INJECTION BREXANOLONE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BREXANOLONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1632","description":"INJECTION BREXANOLONE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BROLUCIZUMAB-DBLL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0179","description":"INJECTION BROLUCIZUMAB-DBLL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":352.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":353.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BROLUCIZUMAB-DBLL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0179","description":"INJECTION BROLUCIZUMAB-DBLL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":352.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":353.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUMETANIDE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1939","description":"INJECTION BUMETANIDE 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUMETANIDE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1939","description":"INJECTION BUMETANIDE 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPIVICAINE NOS 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0665","description":"INJECTION BUPIVICAINE NOS 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPIVICAINE NOS 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0665","description":"INJECTION BUPIVICAINE NOS 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE ER  GT  7 TO 28 DAYS TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0578","description":"INJECTION BUPRENORPHINE ER  GT  7 TO 28 DAYS TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1668.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1668.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1680.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1680.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE ER  GT  7 TO 28 DAYS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0578","description":"INJECTION BUPRENORPHINE ER  GT  7 TO 28 DAYS TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1668.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1668.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1680.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1680.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE ER  LT or equal to  TO 7 DAYS TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0577","description":"INJECTION BUPRENORPHINE ER  LT or equal to  TO 7 DAYS TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":417.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":420.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE ER  LT or equal to  TO 7 DAYS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0577","description":"INJECTION BUPRENORPHINE ER  LT or equal to  TO 7 DAYS TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":417.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":420.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE EXT-RLSE  LT or equal to  TO 100 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9991","description":"INJECTION BUPRENORPHINE EXT-RLSE  LT or equal to  TO 100 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1996.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1996.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1998.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1998.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE EXT-RLSE  LT or equal to  TO 100 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9991","description":"INJECTION BUPRENORPHINE EXT-RLSE  LT or equal to  TO 100 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1996.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1996.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1998.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1998.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE EXTENDED-RELEASE  GT 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9992","description":"INJECTION BUPRENORPHINE EXTENDED-RELEASE  GT 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1996.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1996.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1998.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1998.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE EXTENDED-RELEASE  GT 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9992","description":"INJECTION BUPRENORPHINE EXTENDED-RELEASE  GT 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1996.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1996.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1998.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1998.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUROSUMAB-TWZA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0584","description":"INJECTION BUROSUMAB-TWZA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":498.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":498.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUROSUMAB-TWZA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0584","description":"INJECTION BUROSUMAB-TWZA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":498.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":498.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C-1 ESTERASE INHIBITOR 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0599","description":"INJECTION C-1 ESTERASE INHIBITOR 10 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C-1 ESTERASE INHIBITOR 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0599","description":"INJECTION C-1 ESTERASE INHIBITOR 10 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C1 ESTERASE INHIBITOR RUCONEST 10 U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0596","description":"INJECTION C1 ESTERASE INHIBITOR RUCONEST 10 U","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C1 ESTERASE INHIBITOR RUCONEST 10 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0596","description":"INJECTION C1 ESTERASE INHIBITOR RUCONEST 10 U","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABAZITAXEL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9043","description":"INJECTION CABAZITAXEL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":231.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABAZITAXEL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9043","description":"INJECTION CABAZITAXEL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":231.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABAZITAXEL NOT TE TO J9043 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9064","description":"INJECTION CABAZITAXEL NOT TE TO J9043 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABAZITAXEL NOT TE TO J9043 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9064","description":"INJECTION CABAZITAXEL NOT TE TO J9043 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2MG/3MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0741","description":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2MG/3MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2MG/3MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0741","description":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2MG/3MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR 1 MG FDA-APPROVED PRSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0739","description":"INJECTION CABOTEGRAVIR 1 MG FDA-APPROVED PRSC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR 1 MG FDA-APPROVED PRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0739","description":"INJECTION CABOTEGRAVIR 1 MG FDA-APPROVED PRSC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CAFFEINE CITRATE 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0706","description":"INJECTION CAFFEINE CITRATE 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CAFFEINE CITRATE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0706","description":"INJECTION CAFFEINE CITRATE 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CAGLU NOT THERAP EQUIV  TO J0612 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0613","description":"INJECTION CAGLU NOT THERAP EQUIV  TO J0612 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CAGLU NOT THERAP EQUIV  TO J0612 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0613","description":"INJECTION CAGLU NOT THERAP EQUIV  TO J0612 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9118","description":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9118","description":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0630","description":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1142.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1142.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0630","description":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1142.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1142.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCIUM CHLORIDE 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0618","description":"INJECTION CALCIUM CHLORIDE 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCIUM CHLORIDE 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0618","description":"INJECTION CALCIUM CHLORIDE 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCIUM GLUCONATE NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0612","description":"INJECTION CALCIUM GLUCONATE NOS 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCIUM GLUCONATE NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0612","description":"INJECTION CALCIUM GLUCONATE NOS 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPLATIN AVYXA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9278","description":"INJECTION CARBOPLATIN AVYXA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPLATIN AVYXA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9278","description":"INJECTION CARBOPLATIN AVYXA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPROST TROMETHAMINE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0675","description":"INJECTION CARBOPROST TROMETHAMINE 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOPROST TROMETHAMINE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0675","description":"INJECTION CARBOPROST TROMETHAMINE 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOXYDEXTRAN-CTD SPM IO PER ST D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9697","description":"INJECTION CARBOXYDEXTRAN-CTD SPM IO PER ST D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOXYDEXTRAN-CTD SPM IO PER ST D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9697","description":"INJECTION CARBOXYDEXTRAN-CTD SPM IO PER ST D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARFILZOMIB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9047","description":"INJECTION CARFILZOMIB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARFILZOMIB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9047","description":"INJECTION CARFILZOMIB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":232.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":232.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARMUSTINE NOT THR EQV TO J9050 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9052","description":"INJECTION CARMUSTINE NOT THR EQV TO J9050 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARMUSTINE NOT THR EQV TO J9050 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9052","description":"INJECTION CARMUSTINE NOT THR EQV TO J9050 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CASIMERSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1426","description":"INJECTION CASIMERSEN 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CASIMERSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1426","description":"INJECTION CASIMERSEN 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFIDEROCOL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0699","description":"INJECTION CEFIDEROCOL 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFIDEROCOL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0699","description":"INJECTION CEFIDEROCOL 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOTETAN DISODIUM 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0525","description":"INJECTION CEFOTETAN DISODIUM 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOTETAN DISODIUM 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0525","description":"INJECTION CEFOTETAN DISODIUM 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAZIDIME  and  AVIBACTAM 0.5 G/0.125 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0714","description":"INJECTION CEFTAZIDIME  and  AVIBACTAM 0.5 G/0.125 G","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAZIDIME  and  AVIBACTAM 0.5 G/0.125 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0714","description":"INJECTION CEFTAZIDIME  and  AVIBACTAM 0.5 G/0.125 G","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTOBIPROLE MEDOCARIL SODIUM 3 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0681","description":"INJECTION CEFTOBIPROLE MEDOCARIL SODIUM 3 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTOBIPROLE MEDOCARIL SODIUM 3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0681","description":"INJECTION CEFTOBIPROLE MEDOCARIL SODIUM 3 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0695","description":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0695","description":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEMIPLIMAB-RWLC 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9119","description":"INJECTION CEMIPLIMAB-RWLC 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEMIPLIMAB-RWLC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9119","description":"INJECTION CEMIPLIMAB-RWLC 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0716","description":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3745.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3745.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0716","description":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3745.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3745.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CERLIPONASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0567","description":"INJECTION CERLIPONASE ALFA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CERLIPONASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0567","description":"INJECTION CERLIPONASE ALFA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CERTOLIZUMAB PEGOL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0717","description":"INJECTION CERTOLIZUMAB PEGOL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CERTOLIZUMAB PEGOL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0717","description":"INJECTION CERTOLIZUMAB PEGOL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEZ  NOT THR EQ TO J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0687","description":"INJECTION CEZ  NOT THR EQ TO J0690 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEZ  NOT THR EQ TO J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0687","description":"INJECTION CEZ  NOT THR EQ TO J0690 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0689","description":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0689","description":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLOROPROCAINE HYDROCHLORIDE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2401","description":"INJECTION CHLOROPROCAINE HYDROCHLORIDE PER 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLOROPROCAINE HYDROCHLORIDE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2401","description":"INJECTION CHLOROPROCAINE HYDROCHLORIDE PER 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0725","description":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0725","description":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":524.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":560.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":524.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":560.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIPAGLUCOSIDASE ALFA-ATGA 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1203","description":"INJECTION CIPAGLUCOSIDASE ALFA-ATGA 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIPAGLUCOSIDASE ALFA-ATGA 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1203","description":"INJECTION CIPAGLUCOSIDASE ALFA-ATGA 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLEVIDIPINE BUTYRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0759","description":"INJECTION CLEVIDIPINE BUTYRATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLEVIDIPINE BUTYRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0759","description":"INJECTION CLEVIDIPINE BUTYRATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0736","description":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0736","description":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COAGULATION FACTOR IX IXINITY 1 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7213","description":"INJECTION COAGULATION FACTOR IX IXINITY 1 IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COAGULATION FACTOR IX IXINITY 1 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7213","description":"INJECTION COAGULATION FACTOR IX IXINITY 1 IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CONCIZUMAB-MTCI 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7173","description":"INJECTION CONCIZUMAB-MTCI 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CONCIZUMAB-MTCI 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7173","description":"INJECTION CONCIZUMAB-MTCI 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COPANLISIB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9057","description":"INJECTION COPANLISIB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COPANLISIB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9057","description":"INJECTION COPANLISIB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54235","description":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54235","description":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORTICOTROPIN ACTHAR GEL UP TO 40 U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0801","description":"INJECTION CORTICOTROPIN ACTHAR GEL UP TO 40 U","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4094.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4094.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4172.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4172.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORTICOTROPIN ACTHAR GEL UP TO 40 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0801","description":"INJECTION CORTICOTROPIN ACTHAR GEL UP TO 40 U","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4094.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4094.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4172.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4172.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORTICOTROPIN ANI UP TO 40 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0802","description":"INJECTION CORTICOTROPIN ANI UP TO 40 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3551.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3551.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3571.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3571.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORTICOTROPIN ANI UP TO 40 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0802","description":"INJECTION CORTICOTROPIN ANI UP TO 40 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3551.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3551.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3571.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3571.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COSIBELIMAB IPDL 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9275","description":"INJECTION COSIBELIMAB IPDL 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COSIBELIMAB IPDL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9275","description":"INJECTION COSIBELIMAB IPDL 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CP BAXTER NOT THR EQ TO J0736 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0737","description":"INJECTION CP BAXTER NOT THR EQ TO J0736 300 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CP BAXTER NOT THR EQ TO J0736 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0737","description":"INJECTION CP BAXTER NOT THR EQ TO J0736 300 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CRIZANLIZUMAB-TMCA 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0791","description":"INJECTION CRIZANLIZUMAB-TMCA 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CRIZANLIZUMAB-TMCA 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0791","description":"INJECTION CRIZANLIZUMAB-TMCA 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CROTALIDAE IMMUNE F120 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0841","description":"INJECTION CROTALIDAE IMMUNE F120 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4925.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4925.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CROTALIDAE IMMUNE F120 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0841","description":"INJECTION CROTALIDAE IMMUNE F120 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4925.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4925.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CROVALIMAB-AKKZ 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1307","description":"INJECTION CROVALIMAB-AKKZ 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":551.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CROVALIMAB-AKKZ 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1307","description":"INJECTION CROVALIMAB-AKKZ 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":551.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE AUROMEDICS 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9071","description":"INJECTION CYCLOPHOSPHAMIDE AUROMEDICS 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE AUROMEDICS 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9071","description":"INJECTION CYCLOPHOSPHAMIDE AUROMEDICS 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE AVYXA 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9072","description":"INJECTION CYCLOPHOSPHAMIDE AVYXA 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE BAXTER 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9076","description":"INJECTION CYCLOPHOSPHAMIDE BAXTER 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE BAXTER 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9076","description":"INJECTION CYCLOPHOSPHAMIDE BAXTER 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE DR REDDYS 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9073","description":"INJECTION CYCLOPHOSPHAMIDE DR REDDYS 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE DR REDDYS 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9073","description":"INJECTION CYCLOPHOSPHAMIDE DR REDDYS 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE FRINDOVYX 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9072","description":"INJECTION CYCLOPHOSPHAMIDE FRINDOVYX 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE FRINDOVYX 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9072","description":"INJECTION CYCLOPHOSPHAMIDE FRINDOVYX 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE NOS 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9075","description":"INJECTION CYCLOPHOSPHAMIDE NOS 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE NOS 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9075","description":"INJECTION CYCLOPHOSPHAMIDE NOS 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE SANDOZ 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9074","description":"INJECTION CYCLOPHOSPHAMIDE SANDOZ 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE SANDOZ 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9074","description":"INJECTION CYCLOPHOSPHAMIDE SANDOZ 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1808.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1808.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1808.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1808.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1808.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1808.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1808.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1808.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":307.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":337.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":307.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":337.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DALBAVANCIN 5MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0875","description":"INJECTION DALBAVANCIN 5MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DALBAVANCIN 5MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0875","description":"INJECTION DALBAVANCIN 5MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAPTOMYCIN NOT TE TO J0878 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0874","description":"INJECTION DAPTOMYCIN NOT TE TO J0878 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAPTOMYCIN NOT TE TO J0878 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0874","description":"INJECTION DAPTOMYCIN NOT TE TO J0878 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAPTOMYCIN NOT THER EQV TO J0878 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0877","description":"INJECTION DAPTOMYCIN NOT THER EQV TO J0878 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAPTOMYCIN NOT THER EQV TO J0878 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0877","description":"INJECTION DAPTOMYCIN NOT THER EQV TO J0878 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9145","description":"INJECTION DARATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9145","description":"INJECTION DARATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARATUMUMAB 10 MG  and  HYALURONIDASE-FIHJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9144","description":"INJECTION DARATUMUMAB 10 MG  and  HYALURONIDASE-FIHJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARATUMUMAB 10 MG  and  HYALURONIDASE-FIHJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9144","description":"INJECTION DARATUMUMAB 10 MG  and  HYALURONIDASE-FIHJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DATOPOTAMAB DERUXTECAN-DLNK 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9011","description":"INJECTION DATOPOTAMAB DERUXTECAN-DLNK 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DATOPOTAMAB DERUXTECAN-DLNK 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9011","description":"INJECTION DATOPOTAMAB DERUXTECAN-DLNK 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAXIBOTULINUMTOXINA-LANM 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0589","description":"INJECTION DAXIBOTULINUMTOXINA-LANM 1 UNIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAXIBOTULINUMTOXINA-LANM 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0589","description":"INJECTION DAXIBOTULINUMTOXINA-LANM 1 UNIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DECITABINE NOT THR EQUIV TO J0894 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0893","description":"INJECTION DECITABINE NOT THR EQUIV TO J0894 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DECITABINE NOT THR EQUIV TO J0894 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0893","description":"INJECTION DECITABINE NOT THR EQUIV TO J0894 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENILEUKIN DIFTITOX CXDL 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9161","description":"INJECTION DENILEUKIN DIFTITOX CXDL 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENILEUKIN DIFTITOX CXDL 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9161","description":"INJECTION DENILEUKIN DIFTITOX CXDL 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0897","description":"INJECTION DENOSUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0897","description":"INJECTION DENOSUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-BBDZ BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5136","description":"INJECTION DENOSUMAB-BBDZ BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-BBDZ BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5136","description":"INJECTION DENOSUMAB-BBDZ BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-DSSB OSPOMYV/XBRYK BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5159","description":"INJECTION DENOSUMAB-DSSB OSPOMYV/XBRYK BS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-DSSB OSPOMYV/XBRYK BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5159","description":"INJECTION DENOSUMAB-DSSB OSPOMYV/XBRYK BS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-NXXP BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5162","description":"INJECTION DENOSUMAB-NXXP BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-NXXP BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5162","description":"INJECTION DENOSUMAB-NXXP BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHASONE 9 PCT  INTRAOCULAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1095","description":"INJECTION DEXAMETHASONE 9 PCT  INTRAOCULAR 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHASONE 9 PCT  INTRAOCULAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1095","description":"INJECTION DEXAMETHASONE 9 PCT  INTRAOCULAR 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7312","description":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7312","description":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DICLOFENAC SODIUM .5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1130","description":"INJECTION DICLOFENAC SODIUM .5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DICLOFENAC SODIUM .5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1130","description":"INJECTION DICLOFENAC SODIUM .5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIFELIKEFALIN 0.1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0879","description":"INJECTION DIFELIKEFALIN 0.1 MICROGRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIFELIKEFALIN 0.1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0879","description":"INJECTION DIFELIKEFALIN 0.1 MICROGRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5166.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5166.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5166.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5166.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DILTIAZEM HCL 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1163","description":"INJECTION DILTIAZEM HCL 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DILTIAZEM HCL 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1163","description":"INJECTION DILTIAZEM HCL 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DILTIAZEM HCL IN 0.72 PCT  NACL 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1164","description":"INJECTION DILTIAZEM HCL IN 0.72 PCT  NACL 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DILTIAZEM HCL IN 0.72 PCT  NACL 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1164","description":"INJECTION DILTIAZEM HCL IN 0.72 PCT  NACL 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":748.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":749.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":748.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":749.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":749.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL BEIZRAY 1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9174","description":"INJECTION DOCETAXEL BEIZRAY 1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL BEIZRAY 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9174","description":"INJECTION DOCETAXEL BEIZRAY 1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL DOCIVYX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9172","description":"INJECTION DOCETAXEL DOCIVYX 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL DOCIVYX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9172","description":"INJECTION DOCETAXEL DOCIVYX 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DONANEMAB-AZBT 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0175","description":"INJECTION DONANEMAB-AZBT 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DONANEMAB-AZBT 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0175","description":"INJECTION DONANEMAB-AZBT 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2050","description":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2050","description":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXYCYCLINE HYCLATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1271","description":"INJECTION DOXYCYCLINE HYCLATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOXYCYCLINE HYCLATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1271","description":"INJECTION DOXYCYCLINE HYCLATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DURVALUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9173","description":"INJECTION DURVALUMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DURVALUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9173","description":"INJECTION DURVALUMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":578.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":579.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":578.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":579.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1299","description":"INJECTION ECULIZUMAB 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1299","description":"INJECTION ECULIZUMAB 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB AAGH EPYSQLI BS 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5151","description":"INJECTION ECULIZUMAB AAGH EPYSQLI BS 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB AAGH EPYSQLI BS 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5151","description":"INJECTION ECULIZUMAB AAGH EPYSQLI BS 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB AEEB BKEMV BIOSIMILAR 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5152","description":"INJECTION ECULIZUMAB AEEB BKEMV BIOSIMILAR 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB AEEB BKEMV BIOSIMILAR 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5152","description":"INJECTION ECULIZUMAB AEEB BKEMV BIOSIMILAR 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EDARAVONE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1301","description":"INJECTION EDARAVONE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EDARAVONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1301","description":"INJECTION EDARAVONE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6102.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6102.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6209.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6209.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6102.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6102.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6209.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6209.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EFBEMALENOGRASTIM ALFA-VUXW 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9361","description":"INJECTION EFBEMALENOGRASTIM ALFA-VUXW 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EFBEMALENOGRASTIM ALFA-VUXW 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9361","description":"INJECTION EFBEMALENOGRASTIM ALFA-VUXW 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EFLAPEGRASTIM-XNST 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1449","description":"INJECTION EFLAPEGRASTIM-XNST 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EFLAPEGRASTIM-XNST 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1449","description":"INJECTION EFLAPEGRASTIM-XNST 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELIVALDOGENE AUTOTEMCEL PER TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3387","description":"INJECTION ELIVALDOGENE AUTOTEMCEL PER TREATMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELIVALDOGENE AUTOTEMCEL PER TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3387","description":"INJECTION ELIVALDOGENE AUTOTEMCEL PER TREATMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELOSULFASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1322","description":"INJECTION ELOSULFASE ALFA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELOSULFASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1322","description":"INJECTION ELOSULFASE ALFA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELOTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9176","description":"INJECTION ELOTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELOTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9176","description":"INJECTION ELOTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELRANATAMAB-BCMM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1323","description":"INJECTION ELRANATAMAB-BCMM 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELRANATAMAB-BCMM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1323","description":"INJECTION ELRANATAMAB-BCMM 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EMICIZUMAB-KXWH 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7170","description":"INJECTION EMICIZUMAB-KXWH 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EMICIZUMAB-KXWH 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7170","description":"INJECTION EMICIZUMAB-KXWH 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9177","description":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9177","description":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPCORITAMAB-BYSP 0.16 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9321","description":"INJECTION EPCORITAMAB-BYSP 0.16 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPCORITAMAB-BYSP 0.16 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9321","description":"INJECTION EPCORITAMAB-BYSP 0.16 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPINEPHRINE NOS 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0165","description":"INJECTION EPINEPHRINE NOS 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPINEPHRINE NOS 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0165","description":"INJECTION EPINEPHRINE NOS 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5106","description":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5106","description":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN BETA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0887","description":"INJECTION EPOETIN BETA 1 MICROGRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN BETA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0888","description":"INJECTION EPOETIN BETA 1 MICROGRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN BETA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0887","description":"INJECTION EPOETIN BETA 1 MICROGRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN BETA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0888","description":"INJECTION EPOETIN BETA 1 MICROGRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPTINEZUMAB-JJMR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3032","description":"INJECTION EPTINEZUMAB-JJMR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPTINEZUMAB-JJMR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3032","description":"INJECTION EPTINEZUMAB-JJMR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERAVACYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0122","description":"INJECTION ERAVACYCLINE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERAVACYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0122","description":"INJECTION ERAVACYCLINE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESMOLOL HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1805","description":"INJECTION ESMOLOL HCL 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESMOLOL HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1805","description":"INJECTION ESMOLOL HCL 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESOMEPRAZOLE SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1370","description":"INJECTION ESOMEPRAZOLE SODIUM 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESOMEPRAZOLE SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1370","description":"INJECTION ESOMEPRAZOLE SODIUM 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":391.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":391.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":391.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":391.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":411.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":411.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETELCALCETIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0606","description":"INJECTION ETELCALCETIDE 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETELCALCETIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0606","description":"INJECTION ETELCALCETIDE 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETEPLIRSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1428","description":"INJECTION ETEPLIRSEN 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETEPLIRSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1428","description":"INJECTION ETEPLIRSEN 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETHACRYNATE SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1807","description":"INJECTION ETHACRYNATE SODIUM 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETHACRYNATE SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1807","description":"INJECTION ETHACRYNATE SODIUM 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":517.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":518.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":517.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":517.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":518.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EVINACUMAB-DGNB 5MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1305","description":"INJECTION EVINACUMAB-DGNB 5MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EVINACUMAB-DGNB 5MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1305","description":"INJECTION EVINACUMAB-DGNB 5MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EXAGAMGLOGENE AUTOTEMCEL PER TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3392","description":"INJECTION EXAGAMGLOGENE AUTOTEMCEL PER TREATMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EXAGAMGLOGENE AUTOTEMCEL PER TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3392","description":"INJECTION EXAGAMGLOGENE AUTOTEMCEL PER TREATMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7314","description":"INJECTION FA INTRAVITREAL IMPL 0.01 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":529.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7314","description":"INJECTION FA INTRAVITREAL IMPL 0.01 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":529.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7313","description":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":507.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":509.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7313","description":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":507.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":509.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":338.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":338.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":338.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":338.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAC IX ALBUMIN FUS PRT IDELVION 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7202","description":"INJECTION FAC IX ALBUMIN FUS PRT IDELVION 1 I.U.","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAC IX ALBUMIN FUS PRT IDELVION 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7202","description":"INJECTION FAC IX ALBUMIN FUS PRT IDELVION 1 I.U.","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAC IX FC FUS PROTEIN ALPROLIX 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7201","description":"INJECTION FAC IX FC FUS PROTEIN ALPROLIX 1 I.U.","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAC IX FC FUS PROTEIN ALPROLIX 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7201","description":"INJECTION FAC IX FC FUS PROTEIN ALPROLIX 1 I.U.","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR IX  GLYCOPEGYLATED 1 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7203","description":"INJECTION FACTOR IX  GLYCOPEGYLATED 1 IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR IX  GLYCOPEGYLATED 1 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7203","description":"INJECTION FACTOR IX  GLYCOPEGYLATED 1 IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR IX RIXUBIS PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7200","description":"INJECTION FACTOR IX RIXUBIS PER IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR IX RIXUBIS PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7200","description":"INJECTION FACTOR IX RIXUBIS PER IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7209","description":"INJECTION FACTOR VIII 1 I.U.","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7209","description":"INJECTION FACTOR VIII 1 I.U.","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII AFSTYLA 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7210","description":"INJECTION FACTOR VIII AFSTYLA 1 I.U.","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII AFSTYLA 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7210","description":"INJECTION FACTOR VIII AFSTYLA 1 I.U.","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII FC FUSION PROTEIN PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7205","description":"INJECTION FACTOR VIII FC FUSION PROTEIN PER IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII FC FUSION PROTEIN PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7205","description":"INJECTION FACTOR VIII FC FUSION PROTEIN PER IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII KOVALTRY 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7211","description":"INJECTION FACTOR VIII KOVALTRY 1 I.U.","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII KOVALTRY 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7211","description":"INJECTION FACTOR VIII KOVALTRY 1 I.U.","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PEGYLATED 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7207","description":"INJECTION FACTOR VIII PEGYLATED 1 I.U.","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PEGYLATED 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7207","description":"INJECTION FACTOR VIII PEGYLATED 1 I.U.","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7208","description":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7208","description":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7182","description":"INJECTION FACTOR VIII PER IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7182","description":"INJECTION FACTOR VIII PER IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR X 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7175","description":"INJECTION FACTOR X 1 I.U.","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR X 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7175","description":"INJECTION FACTOR X 1 I.U.","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR XIII 1 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7180","description":"INJECTION FACTOR XIII 1 I.U.","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR XIII 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7180","description":"INJECTION FACTOR XIII 1 I.U.","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR XIII A-SUBUNIT PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7181","description":"INJECTION FACTOR XIII A-SUBUNIT PER IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR XIII A-SUBUNIT PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7181","description":"INJECTION FACTOR XIII A-SUBUNIT PER IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9358","description":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9358","description":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAMOTIDINE 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1308","description":"INJECTION FAMOTIDINE 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAMOTIDINE 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1308","description":"INJECTION FAMOTIDINE 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FARICIMAB-SVOA 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2777","description":"INJECTION FARICIMAB-SVOA 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FARICIMAB-SVOA 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2777","description":"INJECTION FARICIMAB-SVOA 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FERRIC CARBOXYMALTOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1439","description":"INJECTION FERRIC CARBOXYMALTOSE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FERRIC CARBOXYMALTOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1439","description":"INJECTION FERRIC CARBOXYMALTOSE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FERRIC DERISOMALTOSE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1437","description":"INJECTION FERRIC DERISOMALTOSE 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FERRIC DERISOMALTOSE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1437","description":"INJECTION FERRIC DERISOMALTOSE 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FIDANACOGENE ELAPARVOVEC-DZKT PER TX D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1414","description":"INJECTION FIDANACOGENE ELAPARVOVEC-DZKT PER TX D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FIDANACOGENE ELAPARVOVEC-DZKT PER TX D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1414","description":"INJECTION FIDANACOGENE ELAPARVOVEC-DZKT PER TX D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM BIOSIMILAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5101","description":"INJECTION FILGRASTIM BIOSIMILAR 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM BIOSIMILAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5101","description":"INJECTION FILGRASTIM BIOSIMILAR 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM EXCLUDES BIOSIMILARS 1 MIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1442","description":"INJECTION FILGRASTIM EXCLUDES BIOSIMILARS 1 MIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM EXCLUDES BIOSIMILARS 1 MIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1442","description":"INJECTION FILGRASTIM EXCLUDES BIOSIMILARS 1 MIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM TXID NYPOZI BS 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5148","description":"INJECTION FILGRASTIM TXID NYPOZI BS 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM TXID NYPOZI BS 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5148","description":"INJECTION FILGRASTIM TXID NYPOZI BS 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM-AAFI BIOSIMILAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5110","description":"INJECTION FILGRASTIM-AAFI BIOSIMILAR 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM-AAFI BIOSIMILAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5110","description":"INJECTION FILGRASTIM-AAFI BIOSIMILAR 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM-AYOW BIOSIMILAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5125","description":"INJECTION FILGRASTIM-AYOW BIOSIMILAR 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FILGRASTIM-AYOW BIOSIMILAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5125","description":"INJECTION FILGRASTIM-AYOW BIOSIMILAR 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FITUSIRAN 0.04 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7174","description":"INJECTION FITUSIRAN 0.04 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FITUSIRAN 0.04 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7174","description":"INJECTION FITUSIRAN 0.04 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4250.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4250.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4254.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4254.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4250.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4250.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4254.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4254.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUPHENAZINE HCL 1.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2679","description":"INJECTION FLUPHENAZINE HCL 1.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUPHENAZINE HCL 1.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2679","description":"INJECTION FLUPHENAZINE HCL 1.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOLIC ACID 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1808","description":"INJECTION FOLIC ACID 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOLIC ACID 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1808","description":"INJECTION FOLIC ACID 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSAPREPITANT FOCINVEZ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1434","description":"INJECTION FOSAPREPITANT FOCINVEZ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSAPREPITANT FOCINVEZ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1434","description":"INJECTION FOSAPREPITANT FOCINVEZ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSDENOPTERIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1809","description":"INJECTION FOSDENOPTERIN 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSDENOPTERIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1809","description":"INJECTION FOSDENOPTERIN 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FUROSEMIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1938","description":"INJECTION FUROSEMIDE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FUROSEMIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1938","description":"INJECTION FUROSEMIDE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FUROSEMIDE 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1941","description":"INJECTION FUROSEMIDE 20 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FUROSEMIDE 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1941","description":"INJECTION FUROSEMIDE 20 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FVIII/VWD FAC CMPLX REC PER FVIII IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7214","description":"INJECTION FVIII/VWD FAC CMPLX REC PER FVIII IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FVIII/VWD FAC CMPLX REC PER FVIII IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7214","description":"INJECTION FVIII/VWD FAC CMPLX REC PER FVIII IU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOPICLENOL 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9573","description":"INJECTION GADOPICLENOL 1 ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOPICLENOL 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9573","description":"INJECTION GADOPICLENOL 1 ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOTERATE MEGLUMINE 0.1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9575","description":"INJECTION GADOTERATE MEGLUMINE 0.1 ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOTERATE MEGLUMINE 0.1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9575","description":"INJECTION GADOTERATE MEGLUMINE 0.1 ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9576","description":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9576","description":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOXETATE DISODIUM 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9581","description":"INJECTION GADOXETATE DISODIUM 1 ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOXETATE DISODIUM 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9581","description":"INJECTION GADOXETATE DISODIUM 1 ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":513.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":513.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":513.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":513.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMCITABINE HCL AVYXA 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9184","description":"INJECTION GEMCITABINE HCL AVYXA 200 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":410.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":417.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMCITABINE HCL AVYXA 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9184","description":"INJECTION GEMCITABINE HCL AVYXA 200 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":410.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":417.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9203","description":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9203","description":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GIVOSIRAN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0223","description":"INJECTION GIVOSIRAN 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GIVOSIRAN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0223","description":"INJECTION GIVOSIRAN 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLOFITAMAB-GXBM 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9286","description":"INJECTION GLOFITAMAB-GXBM 2.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2840.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2840.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2843.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2843.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLOFITAMAB-GXBM 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9286","description":"INJECTION GLOFITAMAB-GXBM 2.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2840.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2840.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2843.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2843.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLUCAGON GVOKE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1612","description":"INJECTION GLUCAGON GVOKE 0.01 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLUCAGON GVOKE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1612","description":"INJECTION GLUCAGON GVOKE 0.01 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLYCOPYRROLATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1596","description":"INJECTION GLYCOPYRROLATE 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLYCOPYRROLATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1596","description":"INJECTION GLYCOPYRROLATE 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLYCOPYRROLATE GLYRX-PF 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1597","description":"INJECTION GLYCOPYRROLATE GLYRX-PF 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLYCOPYRROLATE GLYRX-PF 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1597","description":"INJECTION GLYCOPYRROLATE GLYRX-PF 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1602","description":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1602","description":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1627","description":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1627","description":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GUSELKUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1628","description":"INJECTION GUSELKUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GUSELKUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1628","description":"INJECTION GUSELKUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7178","description":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7178","description":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7177","description":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7177","description":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROMORPHONE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1171","description":"INJECTION HYDROMORPHONE 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROMORPHONE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1171","description":"INJECTION HYDROMORPHONE 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXOCOBALAMIN INTRAMUSCULAR 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3425","description":"INJECTION HYDROXOCOBALAMIN INTRAMUSCULAR 10 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXOCOBALAMIN INTRAMUSCULAR 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3425","description":"INJECTION HYDROXOCOBALAMIN INTRAMUSCULAR 10 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXOCOBALAMIN INTRAVENOUS 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3424","description":"INJECTION HYDROXOCOBALAMIN INTRAVENOUS 25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXOCOBALAMIN INTRAVENOUS 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3424","description":"INJECTION HYDROXOCOBALAMIN INTRAVENOUS 25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1726","description":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1726","description":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1729","description":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1729","description":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBALIZUMAB-UIYK 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1746","description":"INJECTION IBALIZUMAB-UIYK 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBALIZUMAB-UIYK 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1746","description":"INJECTION IBALIZUMAB-UIYK 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBUPROFEN 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1741","description":"INJECTION IBUPROFEN 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBUPROFEN 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1741","description":"INJECTION IBUPROFEN 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ICATIBANT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1744","description":"INJECTION ICATIBANT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ICATIBANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1744","description":"INJECTION ICATIBANT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ILOPROST 0.1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1749","description":"INJECTION ILOPROST 0.1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ILOPROST 0.1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1749","description":"INJECTION ILOPROST 0.1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMETELSTAT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0870","description":"INJECTION IMETELSTAT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMETELSTAT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0870","description":"INJECTION IMETELSTAT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1553","description":"INJECTION IMMUNE GLOBULIN 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1555","description":"INJECTION IMMUNE GLOBULIN 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1553","description":"INJECTION IMMUNE GLOBULIN 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1555","description":"INJECTION IMMUNE GLOBULIN 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1554","description":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":490.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":500.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1554","description":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":490.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":500.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1556","description":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1556","description":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1551","description":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1551","description":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN IV NON-LYOPH 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1576","description":"INJECTION IMMUNE GLOBULIN IV NON-LYOPH 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN IV NON-LYOPH 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1576","description":"INJECTION IMMUNE GLOBULIN IV NON-LYOPH 500 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN XEMBIFY 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1558","description":"INJECTION IMMUNE GLOBULIN XEMBIFY 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN XEMBIFY 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1558","description":"INJECTION IMMUNE GLOBULIN XEMBIFY 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INCLISIRAN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1306","description":"INJECTION INCLISIRAN 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INCLISIRAN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1306","description":"INJECTION INCLISIRAN 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INDIGOTINDISULFONATE SODIUM 1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9220","description":"INJECTION INDIGOTINDISULFONATE SODIUM 1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INDIGOTINDISULFONATE SODIUM 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9220","description":"INJECTION INDIGOTINDISULFONATE SODIUM 1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INEBILIZUMAB-CDON 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1823","description":"INJECTION INEBILIZUMAB-CDON 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":495.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INEBILIZUMAB-CDON 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1823","description":"INJECTION INEBILIZUMAB-CDON 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":495.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5104","description":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5104","description":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-DYYB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1748","description":"INJECTION INFLIXIMAB-DYYB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-DYYB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1748","description":"INJECTION INFLIXIMAB-DYYB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5103","description":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5103","description":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9229","description":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2816.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2816.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9229","description":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2816.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2816.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q3027","description":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q3027","description":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 30 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1826","description":"INJECTION INTERFERON BETA-1A 30 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1125.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1125.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 30 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1826","description":"INJECTION INTERFERON BETA-1A 30 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1125.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1125.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2717.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2717.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2717.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2717.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IPILIMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9228","description":"INJECTION IPILIMUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IPILIMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9228","description":"INJECTION IPILIMUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRINOTECAN LIPOSOME 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9205","description":"INJECTION IRINOTECAN LIPOSOME 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRINOTECAN LIPOSOME 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9205","description":"INJECTION IRINOTECAN LIPOSOME 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ISATUXIMAB-IRFC 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9227","description":"INJECTION ISATUXIMAB-IRFC 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ISATUXIMAB-IRFC 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9227","description":"INJECTION ISATUXIMAB-IRFC 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ISONIAZID 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1834","description":"INJECTION ISONIAZID 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ISONIAZID 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1834","description":"INJECTION ISONIAZID 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LA FOR DEPOT SUSPENSION 7.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1954","description":"INJECTION LA FOR DEPOT SUSPENSION 7.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":693.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":706.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LABETALOL HCL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1920","description":"INJECTION LABETALOL HCL 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LABETALOL HCL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1920","description":"INJECTION LABETALOL HCL 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANADELUMAB-FLYO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0593","description":"INJECTION LANADELUMAB-FLYO 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANADELUMAB-FLYO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0593","description":"INJECTION LANADELUMAB-FLYO 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANREOTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1932","description":"INJECTION LANREOTIDE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANREOTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1932","description":"INJECTION LANREOTIDE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEFAMULIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0691","description":"INJECTION LEFAMULIN 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEFAMULIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0691","description":"INJECTION LEFAMULIN 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LENACAPAVIR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1961","description":"INJECTION LENACAPAVIR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1951","description":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1951","description":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1763.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1763.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1765.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1765.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1763.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1763.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1765.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1765.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOLEUCOVORIN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0642","description":"INJECTION LEVOLEUCOVORIN 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOLEUCOVORIN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0642","description":"INJECTION LEVOLEUCOVORIN 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOTHYROXINE SODIUM NOS 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0650","description":"INJECTION LEVOTHYROXINE SODIUM NOS 10 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOTHYROXINE SODIUM NOS 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0650","description":"INJECTION LEVOTHYROXINE SODIUM NOS 10 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIDOCAINE HCL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2003","description":"INJECTION LIDOCAINE HCL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIDOCAINE HCL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2003","description":"INJECTION LIDOCAINE HCL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIDOCAINE HCL IN 5 PCT  DEXTROSE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2002","description":"INJECTION LIDOCAINE HCL IN 5 PCT  DEXTROSE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIDOCAINE HCL IN 5 PCT  DEXTROSE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2002","description":"INJECTION LIDOCAINE HCL IN 5 PCT  DEXTROSE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIDOCAINE HCL WITH EPINEPHRINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2004","description":"INJECTION LIDOCAINE HCL WITH EPINEPHRINE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIDOCAINE HCL WITH EPINEPHRINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2004","description":"INJECTION LIDOCAINE HCL WITH EPINEPHRINE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINVOSELTAMAB-GCPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9601","description":"INJECTION LINVOSELTAMAB-GCPT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINVOSELTAMAB-GCPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9601","description":"INJECTION LINVOSELTAMAB-GCPT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIOTHYRONINE 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0654","description":"INJECTION LIOTHYRONINE 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIOTHYRONINE 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0654","description":"INJECTION LIOTHYRONINE 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIPOSOMAL 1 MG DNR  AND  2.27 MG CA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9153","description":"INJECTION LIPOSOMAL 1 MG DNR  AND  2.27 MG CA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":260.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIPOSOMAL 1 MG DNR  AND  2.27 MG CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9153","description":"INJECTION LIPOSOMAL 1 MG DNR  AND  2.27 MG CA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":260.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LOVOTIBEGLOGENE AUTOTEMCEL PER TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3394","description":"INJECTION LOVOTIBEGLOGENE AUTOTEMCEL PER TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LOVOTIBEGLOGENE AUTOTEMCEL PER TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3394","description":"INJECTION LOVOTIBEGLOGENE AUTOTEMCEL PER TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LUMASIRAN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0224","description":"INJECTION LUMASIRAN 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":328.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LUMASIRAN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0224","description":"INJECTION LUMASIRAN 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":328.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LURBINECTEDIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9223","description":"INJECTION LURBINECTEDIN 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LURBINECTEDIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9223","description":"INJECTION LURBINECTEDIN 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MANNITOL 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2151","description":"INJECTION MANNITOL 250 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MANNITOL 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2151","description":"INJECTION MANNITOL 250 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MARGETUXIMAB-CMKB 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9353","description":"INJECTION MARGETUXIMAB-CMKB 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MARGETUXIMAB-CMKB 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9353","description":"INJECTION MARGETUXIMAB-CMKB 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MARSTACIM HNCQ 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7172","description":"INJECTION MARSTACIM HNCQ 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MARSTACIM HNCQ 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7172","description":"INJECTION MARSTACIM HNCQ 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MECASERMIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2170","description":"INJECTION MECASERMIN 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MECASERMIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2170","description":"INJECTION MECASERMIN 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":321.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":321.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.0335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.0335,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEDROXYPROGESTERONE ACETATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1050","description":"INJECTION MEDROXYPROGESTERONE ACETATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEDROXYPROGESTERONE ACETATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1050","description":"INJECTION MEDROXYPROGESTERONE ACETATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELOXICAM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1738","description":"INJECTION MELOXICAM 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELOXICAM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1738","description":"INJECTION MELOXICAM 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELOXICAM AZURITY 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1737","description":"INJECTION MELOXICAM AZURITY 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELOXICAM AZURITY 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1737","description":"INJECTION MELOXICAM AZURITY 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELOXICAM DELOVA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1736","description":"INJECTION MELOXICAM DELOVA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELOXICAM DELOVA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1736","description":"INJECTION MELOXICAM DELOVA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN APOTEX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9249","description":"INJECTION MELPHALAN APOTEX 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN APOTEX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9249","description":"INJECTION MELPHALAN APOTEX 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN EVOMELA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9246","description":"INJECTION MELPHALAN EVOMELA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN EVOMELA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9246","description":"INJECTION MELPHALAN EVOMELA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN HEPZATO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9248","description":"INJECTION MELPHALAN HEPZATO 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":795.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN HEPZATO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9248","description":"INJECTION MELPHALAN HEPZATO 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":795.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPOLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2182","description":"INJECTION MEPOLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPOLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2182","description":"INJECTION MEPOLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM NOT EQUIV TO J2185 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2184","description":"INJECTION MEROPENEM NOT EQUIV TO J2185 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM NOT EQUIV TO J2185 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2184","description":"INJECTION MEROPENEM NOT EQUIV TO J2185 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM NOT THR EQ TO J2185 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2183","description":"INJECTION MEROPENEM NOT THR EQ TO J2185 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM NOT THR EQ TO J2185 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2183","description":"INJECTION MEROPENEM NOT THR EQ TO J2185 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM VABORBACTAM 10 MG/10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2186","description":"INJECTION MEROPENEM VABORBACTAM 10 MG/10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEROPENEM VABORBACTAM 10 MG/10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2186","description":"INJECTION MEROPENEM VABORBACTAM 10 MG/10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLNALTREXONE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2212","description":"INJECTION METHYLNALTREXONE 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLNALTREXONE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2212","description":"INJECTION METHYLNALTREXONE 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLPREDNISOLONE ACETATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1010","description":"INJECTION METHYLPREDNISOLONE ACETATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLPREDNISOLONE ACETATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1010","description":"INJECTION METHYLPREDNISOLONE ACETATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLPREDNISOLONE NA SUCCINATE 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2919","description":"INJECTION METHYLPREDNISOLONE NA SUCCINATE 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLPREDNISOLONE NA SUCCINATE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2919","description":"INJECTION METHYLPREDNISOLONE NA SUCCINATE 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METOPROLOL TARTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0616","description":"INJECTION METOPROLOL TARTRATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METOPROLOL TARTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0616","description":"INJECTION METOPROLOL TARTRATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METRONIDAZOLE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1836","description":"INJECTION METRONIDAZOLE 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METRONIDAZOLE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1836","description":"INJECTION METRONIDAZOLE 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIDAZOLAM (SEIZALAM) 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2253","description":"INJECTION MIDAZOLAM (SEIZALAM) 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIDAZOLAM (SEIZALAM) 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2253","description":"INJECTION MIDAZOLAM (SEIZALAM) 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIRIKIZUMAB-MRKZ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2267","description":"INJECTION MIRIKIZUMAB-MRKZ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIRIKIZUMAB-MRKZ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2267","description":"INJECTION MIRIKIZUMAB-MRKZ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIRVETUXIMAB SORAVTANSINE-GYNX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9063","description":"INJECTION MIRVETUXIMAB SORAVTANSINE-GYNX 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIRVETUXIMAB SORAVTANSINE-GYNX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9063","description":"INJECTION MIRVETUXIMAB SORAVTANSINE-GYNX 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOGAMULIZUMAB-KPKC 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9204","description":"INJECTION MOGAMULIZUMAB-KPKC 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":253.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOGAMULIZUMAB-KPKC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9204","description":"INJECTION MOGAMULIZUMAB-KPKC 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":253.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MONOCLONAL ANTIBODY NOC 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0235","description":"INJECTION MONOCLONAL ANTIBODY NOC 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MONOCLONAL ANTIBODY NOC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0235","description":"INJECTION MONOCLONAL ANTIBODY NOC 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOSUNETUZUMAB-AXGB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9350","description":"INJECTION MOSUNETUZUMAB-AXGB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":654.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":655.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOSUNETUZUMAB-AXGB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9350","description":"INJECTION MOSUNETUZUMAB-AXGB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":654.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":654.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":655.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":655.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOTIXAFORTIDE 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2277","description":"INJECTION MOTIXAFORTIDE 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOTIXAFORTIDE 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2277","description":"INJECTION MOTIXAFORTIDE 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MS PRES-FREE EPID/INTRATHECL USE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2274","description":"INJECTION MS PRES-FREE EPID/INTRATHECL USE 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MS PRES-FREE EPID/INTRATHECL USE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2274","description":"INJECTION MS PRES-FREE EPID/INTRATHECL USE 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MYCOPHENOLATE MOFETIL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7519","description":"INJECTION MYCOPHENOLATE MOFETIL 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MYCOPHENOLATE MOFETIL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7519","description":"INJECTION MYCOPHENOLATE MOFETIL 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NAFCILLIN SODIUM BAXTER 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2291","description":"INJECTION NAFCILLIN SODIUM BAXTER 20 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NAFCILLIN SODIUM BAXTER 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2291","description":"INJECTION NAFCILLIN SODIUM BAXTER 20 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALOXONE HCI ZIMHI 0.01MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2313","description":"INJECTION NALOXONE HCI ZIMHI 0.01MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALOXONE HCI ZIMHI 0.01MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2313","description":"INJECTION NALOXONE HCI ZIMHI 0.01MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALOXONE HCL NOS 0.01MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2312","description":"INJECTION NALOXONE HCL NOS 0.01MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALOXONE HCL NOS 0.01MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2312","description":"INJECTION NALOXONE HCL NOS 0.01MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NATALIZUMAB-SZTN BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5134","description":"INJECTION NATALIZUMAB-SZTN BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NATALIZUMAB-SZTN BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5134","description":"INJECTION NATALIZUMAB-SZTN BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NAXITAMAB-GQGK 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9348","description":"INJECTION NAXITAMAB-GQGK 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":686.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":686.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NAXITAMAB-GQGK 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9348","description":"INJECTION NAXITAMAB-GQGK 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":686.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":686.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NECITUMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9295","description":"INJECTION NECITUMUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NECITUMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9295","description":"INJECTION NECITUMUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NICARDIPINE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2404","description":"INJECTION NICARDIPINE 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NICARDIPINE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2404","description":"INJECTION NICARDIPINE 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIPOCALIMAB-AAHU 3 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9256","description":"INJECTION NIPOCALIMAB-AAHU 3 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIPOCALIMAB-AAHU 3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9256","description":"INJECTION NIPOCALIMAB-AAHU 3 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NITROGLYCERIN 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2305","description":"INJECTION NITROGLYCERIN 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NITROGLYCERIN 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2305","description":"INJECTION NITROGLYCERIN 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB  and  RELATLIMAB-RMBW 3 MG/1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9298","description":"INJECTION NIVOLUMAB  and  RELATLIMAB-RMBW 3 MG/1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB  and  RELATLIMAB-RMBW 3 MG/1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9298","description":"INJECTION NIVOLUMAB  and  RELATLIMAB-RMBW 3 MG/1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9299","description":"INJECTION NIVOLUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9299","description":"INJECTION NIVOLUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB 2 MG  and  HYALURONIDASE NVHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9289","description":"INJECTION NIVOLUMAB 2 MG  and  HYALURONIDASE NVHY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB 2 MG  and  HYALURONIDASE NVHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9289","description":"INJECTION NIVOLUMAB 2 MG  and  HYALURONIDASE NVHY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NUSINERSEN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2326","description":"INJECTION NUSINERSEN 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1114.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1114.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NUSINERSEN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2326","description":"INJECTION NUSINERSEN 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1114.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1114.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OBINUTUZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9301","description":"INJECTION OBINUTUZUMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OBINUTUZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9301","description":"INJECTION OBINUTUZUMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRELIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2350","description":"INJECTION OCRELIZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRELIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2350","description":"INJECTION OCRELIZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRELIZUMAB 1 MG  and  HYALURONIDASE OCSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2351","description":"INJECTION OCRELIZUMAB 1 MG  and  HYALURONIDASE OCSQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRELIZUMAB 1 MG  and  HYALURONIDASE OCSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2351","description":"INJECTION OCRELIZUMAB 1 MG  and  HYALURONIDASE OCSQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRIPLASMIN 0.125 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7316","description":"INJECTION OCRIPLASMIN 0.125 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1046.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1046.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRIPLASMIN 0.125 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7316","description":"INJECTION OCRIPLASMIN 0.125 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1046.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1046.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9956","description":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9956","description":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLANZAPINE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2359","description":"INJECTION OLANZAPINE 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLANZAPINE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2359","description":"INJECTION OLANZAPINE 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLARATUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9285","description":"INJECTION OLARATUMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLARATUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9285","description":"INJECTION OLARATUMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLIPUDASE ALFA-RPCP 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0218","description":"INJECTION OLIPUDASE ALFA-RPCP 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":395.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":395.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLIPUDASE ALFA-RPCP 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0218","description":"INJECTION OLIPUDASE ALFA-RPCP 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":395.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":395.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMADACYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0121","description":"INJECTION OMADACYCLINE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMADACYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0121","description":"INJECTION OMADACYCLINE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":426.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":426.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2407","description":"INJECTION ORITAVANCIN 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN KIMYRSA 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2406","description":"INJECTION ORITAVANCIN KIMYRSA 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN KIMYRSA 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2406","description":"INJECTION ORITAVANCIN KIMYRSA 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN ORBACTIV 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2407","description":"INJECTION ORITAVANCIN ORBACTIV 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN ORBACTIV 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2407","description":"INJECTION ORITAVANCIN ORBACTIV 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAFOLACIANINE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9603","description":"INJECTION PAFOLACIANINE 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAFOLACIANINE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9603","description":"INJECTION PAFOLACIANINE 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PAL EXT REL ERZOFRI 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2428","description":"INJECTION PALIPERIDONE PAL EXT REL ERZOFRI 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PAL EXT REL ERZOFRI 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2428","description":"INJECTION PALIPERIDONE PAL EXT REL ERZOFRI 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PALMITATE ER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2427","description":"INJECTION PALIPERIDONE PALMITATE ER 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PALMITATE ER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2427","description":"INJECTION PALIPERIDONE PALMITATE ER 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALONOSETRON HCL POSFREA 25 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2468","description":"INJECTION PALONOSETRON HCL POSFREA 25 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALONOSETRON HCL POSFREA 25 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2468","description":"INJECTION PALONOSETRON HCL POSFREA 25 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAN NOT THERAP EQUIV TO J2470 40 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2471","description":"INJECTION PAN NOT THERAP EQUIV TO J2470 40 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAN NOT THERAP EQUIV TO J2470 40 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2471","description":"INJECTION PAN NOT THERAP EQUIV TO J2470 40 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":173.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":173.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANTOPRAZOLE SODIUM 40 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2470","description":"INJECTION PANTOPRAZOLE SODIUM 40 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANTOPRAZOLE SODIUM 40 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2470","description":"INJECTION PANTOPRAZOLE SODIUM 40 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANTOPRAZOLE SODIUM IN NACI 40 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2472","description":"INJECTION PANTOPRAZOLE SODIUM IN NACI 40 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANTOPRAZOLE SODIUM IN NACI 40 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2472","description":"INJECTION PANTOPRAZOLE SODIUM IN NACI 40 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PASIREOTIDE LONG ACTING 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2502","description":"INJECTION PASIREOTIDE LONG ACTING 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":575.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":596.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PASIREOTIDE LONG ACTING 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2502","description":"INJECTION PASIREOTIDE LONG ACTING 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":575.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":596.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PATISIRAN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0222","description":"INJECTION PATISIRAN 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PATISIRAN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0222","description":"INJECTION PATISIRAN 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEG-FPGK STIMUFEND BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5127","description":"INJECTION PEG-FPGK STIMUFEND BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEG-FPGK STIMUFEND BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5127","description":"INJECTION PEG-FPGK STIMUFEND BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEG-PBBK FYLNETRA BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5130","description":"INJECTION PEG-PBBK FYLNETRA BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEG-PBBK FYLNETRA BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5130","description":"INJECTION PEG-PBBK FYLNETRA BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28424.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28424.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28424.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28424.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGCETACOPLAN INTRAVITREAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2781","description":"INJECTION PEGCETACOPLAN INTRAVITREAL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGCETACOPLAN INTRAVITREAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2781","description":"INJECTION PEGCETACOPLAN INTRAVITREAL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5122","description":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5122","description":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-BMEZ BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5120","description":"INJECTION PEGFILGRASTIM-BMEZ BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-BMEZ BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5120","description":"INJECTION PEGFILGRASTIM-BMEZ BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5111","description":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5111","description":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5108","description":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5108","description":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGINESATIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0890","description":"INJECTION PEGINESATIDE 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGINESATIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0890","description":"INJECTION PEGINESATIDE 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGLOTICASE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2507","description":"INJECTION PEGLOTICASE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3768.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3768.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3824.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3824.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGLOTICASE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2507","description":"INJECTION PEGLOTICASE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3768.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3768.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3824.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3824.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGULICIANINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9615","description":"INJECTION PEGULICIANINE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGULICIANINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9615","description":"INJECTION PEGULICIANINE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGUNIGALSIDASE ALFA-IWXJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2508","description":"INJECTION PEGUNIGALSIDASE ALFA-IWXJ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGUNIGALSIDASE ALFA-IWXJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2508","description":"INJECTION PEGUNIGALSIDASE ALFA-IWXJ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEM 1 MG  and  BERAHYALURONIDASE ALFA-PMPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9277","description":"INJECTION PEM 1 MG  and  BERAHYALURONIDASE ALFA-PMPH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEM 1 MG  and  BERAHYALURONIDASE ALFA-PMPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9277","description":"INJECTION PEM 1 MG  and  BERAHYALURONIDASE ALFA-PMPH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMBROLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9271","description":"INJECTION PEMBROLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMBROLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9271","description":"INJECTION PEMBROLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9324","description":"INJECTION PEMETREXED 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9324","description":"INJECTION PEMETREXED 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED DIPOTASSIUM 10MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9292","description":"INJECTION PEMETREXED DIPOTASSIUM 10MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED DIPOTASSIUM 10MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9292","description":"INJECTION PEMETREXED DIPOTASSIUM 10MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED DITROMETHAMINE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9323","description":"INJECTION PEMETREXED DITROMETHAMINE 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED DITROMETHAMINE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9323","description":"INJECTION PEMETREXED DITROMETHAMINE 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED PEMFEXY 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9304","description":"INJECTION PEMETREXED PEMFEXY 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED PEMFEXY 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9304","description":"INJECTION PEMETREXED PEMFEXY 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED TEVA NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9314","description":"INJECTION PEMETREXED TEVA NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED TEVA NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9314","description":"INJECTION PEMETREXED TEVA NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTAMIDINE ISETHIONATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2516","description":"INJECTION PENTAMIDINE ISETHIONATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTAMIDINE ISETHIONATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2516","description":"INJECTION PENTAMIDINE ISETHIONATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2537.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2537.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2626.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2626.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2537.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2537.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2626.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2626.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9955","description":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9955","description":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9306","description":"INJECTION PERTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9306","description":"INJECTION PERTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEYRONIE DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54200","description":"INJECTION PEYRONIE DISEASE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2561","description":"INJECTION PHENOBARBITAL SODIUM 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2561","description":"INJECTION PHENOBARBITAL SODIUM 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":420.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":420.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYLEPHRINE HCL (BIORPHEN) 20 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2372","description":"INJECTION PHENYLEPHRINE HCL (BIORPHEN) 20 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYLEPHRINE HCL (BIORPHEN) 20 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2372","description":"INJECTION PHENYLEPHRINE HCL (BIORPHEN) 20 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYLEPHRINE HCL 20 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2371","description":"INJECTION PHENYLEPHRINE HCL 20 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYLEPHRINE HCL 20 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2371","description":"INJECTION PHENYLEPHRINE HCL 20 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYLEPHRINE HYDROCHLORIDE 20 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2373","description":"INJECTION PHENYLEPHRINE HYDROCHLORIDE 20 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYLEPHRINE HYDROCHLORIDE 20 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2373","description":"INJECTION PHENYLEPHRINE HYDROCHLORIDE 20 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLASMINOGEN HUMAN-TVMH 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2998","description":"INJECTION PLASMINOGEN HUMAN-TVMH 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLASMINOGEN HUMAN-TVMH 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2998","description":"INJECTION PLASMINOGEN HUMAN-TVMH 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLAZOMICIN 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0291","description":"INJECTION PLAZOMICIN 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLAZOMICIN 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0291","description":"INJECTION PLAZOMICIN 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9309","description":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9309","description":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POSACONAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1837","description":"INJECTION POSACONAZOLE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POSACONAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1837","description":"INJECTION POSACONAZOLE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POZELIMAB-BBFG 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9376","description":"INJECTION POZELIMAB-BBFG 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POZELIMAB-BBFG 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9376","description":"INJECTION POZELIMAB-BBFG 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":392.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":392.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PREP DRUG FOR HIV PREV UNDER SKIN/MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0012","description":"INJECTION PREP DRUG FOR HIV PREV UNDER SKIN/MUSC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PREP DRUG FOR HIV PREV UNDER SKIN/MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0012","description":"INJECTION PREP DRUG FOR HIV PREV UNDER SKIN/MUSC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":214.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":344.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":214.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":344.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR PEYRONIE DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54200","description":"INJECTION PROCEDURE FOR PEYRONIE DISEASE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR PEYRONIE DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54200","description":"INJECTION PROCEDURE FOR PEYRONIE DISEASE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":493.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":493.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":493.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RAMUCIRUMAB 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9308","description":"INJECTION RAMUCIRUMAB 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RAMUCIRUMAB 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9308","description":"INJECTION RAMUCIRUMAB 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB-EQRN BIOSIMILAR 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5128","description":"INJECTION RANIBIZUMAB-EQRN BIOSIMILAR 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB-EQRN BIOSIMILAR 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5128","description":"INJECTION RANIBIZUMAB-EQRN BIOSIMILAR 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5124","description":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5124","description":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":382.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":383.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":382.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":383.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RAVULIZUMAB-CWVZ 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1303","description":"INJECTION RAVULIZUMAB-CWVZ 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RAVULIZUMAB-CWVZ 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1303","description":"INJECTION RAVULIZUMAB-CWVZ 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMESTEMCEL-L-RKND PER THER DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3402","description":"INJECTION REMESTEMCEL-L-RKND PER THER DOSE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201669.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201669.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMESTEMCEL-L-RKND PER THER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3402","description":"INJECTION REMESTEMCEL-L-RKND PER THER DOSE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201669.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201669.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMIMAZOLAM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2249","description":"INJECTION REMIMAZOLAM 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMIMAZOLAM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2249","description":"INJECTION REMIMAZOLAM 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RESLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2786","description":"INJECTION RESLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RESLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2786","description":"INJECTION RESLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2301.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2301.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2301.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2301.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RETIFANLIMAB-DLWR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9345","description":"INJECTION RETIFANLIMAB-DLWR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RETIFANLIMAB-DLWR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9345","description":"INJECTION RETIFANLIMAB-DLWR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REZAFUNGIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0349","description":"INJECTION REZAFUNGIN 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REZAFUNGIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0349","description":"INJECTION REZAFUNGIN 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RIFAMPIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2804","description":"INJECTION RIFAMPIN 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RIFAMPIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2804","description":"INJECTION RIFAMPIN 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISANKIZUMAB-RZAA INTRAVENOUS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2327","description":"INJECTION RISANKIZUMAB-RZAA INTRAVENOUS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISANKIZUMAB-RZAA INTRAVENOUS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2327","description":"INJECTION RISANKIZUMAB-RZAA INTRAVENOUS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2798","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2801","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2798","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2801","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2799","description":"INJECTION RISPERIDONE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2799","description":"INJECTION RISPERIDONE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9312","description":"INJECTION RITUXIMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9312","description":"INJECTION RITUXIMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9311","description":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9311","description":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5115","description":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5115","description":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5123","description":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5123","description":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROLAPITANT 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2797","description":"INJECTION ROLAPITANT 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROLAPITANT 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2797","description":"INJECTION ROLAPITANT 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9319","description":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9319","description":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9318","description":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9318","description":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMOSOZUMAB-AQQG 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3111","description":"INJECTION ROMOSOZUMAB-AQQG 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMOSOZUMAB-AQQG 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3111","description":"INJECTION ROMOSOZUMAB-AQQG 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROZANOLIXIZUMAB-NOLI 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9333","description":"INJECTION ROZANOLIXIZUMAB-NOLI 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROZANOLIXIZUMAB-NOLI 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9333","description":"INJECTION ROZANOLIXIZUMAB-NOLI 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.2575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.2575,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SEBELIPASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2840","description":"INJECTION SEBELIPASE ALFA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":546.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SEBELIPASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2840","description":"INJECTION SEBELIPASE ALFA 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":546.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":546.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SECUKINUMAB IV 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3247","description":"INJECTION SECUKINUMAB IV 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SECUKINUMAB IV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3247","description":"INJECTION SECUKINUMAB IV 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SERMORELIN ACETATE 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0515","description":"INJECTION SERMORELIN ACETATE 1 MICROGRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SERMORELIN ACETATE 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0515","description":"INJECTION SERMORELIN ACETATE 1 MICROGRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SILTUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2860","description":"INJECTION SILTUXIMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":168.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SILTUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2860","description":"INJECTION SILTUXIMAB 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":168.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.6535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.6535,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.798,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9331","description":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9331","description":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SODIUM THIOSULFATE HOPE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0209","description":"INJECTION SODIUM THIOSULFATE HOPE 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SODIUM THIOSULFATE HOPE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0209","description":"INJECTION SODIUM THIOSULFATE HOPE 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SODIUM THIOSULFATE PEDMARK 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0208","description":"INJECTION SODIUM THIOSULFATE PEDMARK 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SODIUM THIOSULFATE PEDMARK 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0208","description":"INJECTION SODIUM THIOSULFATE PEDMARK 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SPESOLIMAB-SBZO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1747","description":"INJECTION SPESOLIMAB-SBZO 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SPESOLIMAB-SBZO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1747","description":"INJECTION SPESOLIMAB-SBZO 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SULFAMETHOXAZOLE 5 MG  and  TRIM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2865","description":"INJECTION SULFAMETHOXAZOLE 5 MG  and  TRIM 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SULFAMETHOXAZOLE 5 MG  and  TRIM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2865","description":"INJECTION SULFAMETHOXAZOLE 5 MG  and  TRIM 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9950","description":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9950","description":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUTIMLIMAB-JOME 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1302","description":"INJECTION SUTIMLIMAB-JOME 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUTIMLIMAB-JOME 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1302","description":"INJECTION SUTIMLIMAB-JOME 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TAFASITAMAB-CXIX 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9349","description":"INJECTION TAFASITAMAB-CXIX 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TAFASITAMAB-CXIX 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9349","description":"INJECTION TAFASITAMAB-CXIX 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TALIGLUCERASE ALFA 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3060","description":"INJECTION TALIGLUCERASE ALFA 10 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TALIGLUCERASE ALFA 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3060","description":"INJECTION TALIGLUCERASE ALFA 10 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TALQUETAMAB-TGVS 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3055","description":"INJECTION TALQUETAMAB-TGVS 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TALQUETAMAB-TGVS 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3055","description":"INJECTION TALQUETAMAB-TGVS 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TARLATAMAB-DLLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9026","description":"INJECTION TARLATAMAB-DLLE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1566.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1566.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1567.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1567.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TARLATAMAB-DLLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9026","description":"INJECTION TARLATAMAB-DLLE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1566.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1566.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1567.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1567.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TBO-FILGRASTIM 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1447","description":"INJECTION TBO-FILGRASTIM 1 MICROGRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TBO-FILGRASTIM 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1447","description":"INJECTION TBO-FILGRASTIM 1 MICROGRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEBENTAFUSP-TEBN 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9274","description":"INJECTION TEBENTAFUSP-TEBN 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":222.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":222.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEBENTAFUSP-TEBN 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9274","description":"INJECTION TEBENTAFUSP-TEBN 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":222.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":222.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TECLISTAMAB-CQYV 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9380","description":"INJECTION TECLISTAMAB-CQYV 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TECLISTAMAB-CQYV 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9380","description":"INJECTION TECLISTAMAB-CQYV 0.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEDIZOLID PHOSPHATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3090","description":"INJECTION TEDIZOLID PHOSPHATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEDIZOLID PHOSPHATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3090","description":"INJECTION TEDIZOLID PHOSPHATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TELISOTUZUMAB VEDOTIN-TLLV 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9326","description":"INJECTION TELISOTUZUMAB VEDOTIN-TLLV 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TELISOTUZUMAB VEDOTIN-TLLV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9326","description":"INJECTION TELISOTUZUMAB VEDOTIN-TLLV 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEPLIZUMAB-MZWV 5 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9381","description":"INJECTION TEPLIZUMAB-MZWV 5 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEPLIZUMAB-MZWV 5 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9381","description":"INJECTION TEPLIZUMAB-MZWV 5 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEPROTUMUMAB-TRBW 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3241","description":"INJECTION TEPROTUMUMAB-TRBW 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":367.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":369.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEPROTUMUMAB-TRBW 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3241","description":"INJECTION TEPROTUMUMAB-TRBW 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":367.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":369.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE CYPIONATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1071","description":"INJECTION TESTOSTERONE CYPIONATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE CYPIONATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1071","description":"INJECTION TESTOSTERONE CYPIONATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE CYPIONATE AZMIRO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1072","description":"INJECTION TESTOSTERONE CYPIONATE AZMIRO 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE CYPIONATE AZMIRO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1072","description":"INJECTION TESTOSTERONE CYPIONATE AZMIRO 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE ENANTHATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3121","description":"INJECTION TESTOSTERONE ENANTHATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE ENANTHATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3121","description":"INJECTION TESTOSTERONE ENANTHATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE UNDECANOATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3145","description":"INJECTION TESTOSTERONE UNDECANOATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTOSTERONE UNDECANOATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3145","description":"INJECTION TESTOSTERONE UNDECANOATE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":558.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":588.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":558.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":588.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":588.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEZEPELUMAB-EKKO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2356","description":"INJECTION TEZEPELUMAB-EKKO 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEZEPELUMAB-EKKO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2356","description":"INJECTION TEZEPELUMAB-EKKO 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIOTEPA NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9342","description":"INJECTION THIOTEPA NOS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIOTEPA NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9342","description":"INJECTION THIOTEPA NOS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIOTEPA TEPYLUTE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9341","description":"INJECTION THIOTEPA TEPYLUTE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIOTEPA TEPYLUTE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9341","description":"INJECTION THIOTEPA TEPYLUTE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TILDRAKIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3245","description":"INJECTION TILDRAKIZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TILDRAKIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3245","description":"INJECTION TILDRAKIZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TISLELIZUMAB-JSGR 1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9329","description":"INJECTION TISLELIZUMAB-JSGR 1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TISLELIZUMAB-JSGR 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9329","description":"INJECTION TISLELIZUMAB-JSGR 1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB-ANOH FOR HOSP ADLT PT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0237","description":"INJECTION TOCILIZUMAB-ANOH FOR HOSP ADLT PT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB-ANOH FOR HOSP ADLT PT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0237","description":"INJECTION TOCILIZUMAB-ANOH FOR HOSP ADLT PT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB-BAVI BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5133","description":"INJECTION TOCILIZUMAB-BAVI BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB-BAVI BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5133","description":"INJECTION TOCILIZUMAB-BAVI BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOFERSEN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1304","description":"INJECTION TOFERSEN 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOFERSEN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1304","description":"INJECTION TOFERSEN 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TORIPALIMAB-TPZI 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3263","description":"INJECTION TORIPALIMAB-TPZI 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TORIPALIMAB-TPZI 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3263","description":"INJECTION TORIPALIMAB-TPZI 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TORSEMIDE 10 MG/ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3265","description":"INJECTION TORSEMIDE 10 MG/ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TORSEMIDE 10 MG/ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3265","description":"INJECTION TORSEMIDE 10 MG/ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRABECTEDIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9352","description":"INJECTION TRABECTEDIN 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":391.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRABECTEDIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9352","description":"INJECTION TRABECTEDIN 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":391.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRANEXAMIC ACID 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3290","description":"INJECTION TRANEXAMIC ACID 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRANEXAMIC ACID 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3290","description":"INJECTION TRANEXAMIC ACID 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRANEXAMIC ACID IN SODIUM CHLOR 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3291","description":"INJECTION TRANEXAMIC ACID IN SODIUM CHLOR 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRANEXAMIC ACID IN SODIUM CHLOR 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3291","description":"INJECTION TRANEXAMIC ACID IN SODIUM CHLOR 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB 10 MG  AND  HYALURONIDASE-OYSK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9356","description":"INJECTION TRASTUZUMAB 10 MG  AND  HYALURONIDASE-OYSK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB 10 MG  AND  HYALURONIDASE-OYSK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9356","description":"INJECTION TRASTUZUMAB 10 MG  AND  HYALURONIDASE-OYSK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5117","description":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5117","description":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5114","description":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5114","description":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5112","description":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5112","description":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5113","description":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5113","description":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5116","description":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5116","description":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-STRF HERCESSI BS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5146","description":"INJECTION TRASTUZUMAB-STRF HERCESSI BS 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-STRF HERCESSI BS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5146","description":"INJECTION TRASTUZUMAB-STRF HERCESSI BS 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRAVOPROST INTRACAMERAL IMPLANT 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7355","description":"INJECTION TRAVOPROST INTRACAMERAL IMPLANT 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRAVOPROST INTRACAMERAL IMPLANT 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7355","description":"INJECTION TRAVOPROST INTRACAMERAL IMPLANT 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREMELIMUMAB-ACTL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9347","description":"INJECTION TREMELIMUMAB-ACTL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREMELIMUMAB-ACTL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9347","description":"INJECTION TREMELIMUMAB-ACTL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREOSULFAN 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0614","description":"INJECTION TREOSULFAN 50 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREOSULFAN 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0614","description":"INJECTION TREOSULFAN 50 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3299","description":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3299","description":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRILACICLIB 1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1448","description":"INJECTION TRILACICLIB 1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRILACICLIB 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1448","description":"INJECTION TRILACICLIB 1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3316","description":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3723.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3723.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3764.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3764.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3316","description":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3723.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3723.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3764.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3764.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":463.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":469.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":463.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":469.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION UBLITUXIMAB-XIIY 1MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2329","description":"INJECTION UBLITUXIMAB-XIIY 1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION UBLITUXIMAB-XIIY 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2329","description":"INJECTION UBLITUXIMAB-XIIY 1MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB AAUZ OTULFI BS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9999","description":"INJECTION USTEKINUMAB AAUZ OTULFI BS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB AAUZ OTULFI BS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9999","description":"INJECTION USTEKINUMAB AAUZ OTULFI BS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AEKN SELARSDI 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9998","description":"INJECTION USTEKINUMAB-AEKN SELARSDI 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AEKN SELARSDI BS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9998","description":"INJECTION USTEKINUMAB-AEKN SELARSDI BS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AEKN SELARSDI BS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9998","description":"INJECTION USTEKINUMAB-AEKN SELARSDI BS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AUUB WEZLANA BS IV 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5138","description":"INJECTION USTEKINUMAB-AUUB WEZLANA BS IV 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AUUB WEZLANA BS IV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5138","description":"INJECTION USTEKINUMAB-AUUB WEZLANA BS IV 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AUUB WEZLANA BS SC 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5137","description":"INJECTION USTEKINUMAB-AUUB WEZLANA BS SC 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AUUB WEZLANA BS SC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5137","description":"INJECTION USTEKINUMAB-AUUB WEZLANA BS SC 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-TTWE PYZCHIVA IV 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9997","description":"INJECTION USTEKINUMAB-TTWE PYZCHIVA IV 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-TTWE PYZCHIVA IV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9997","description":"INJECTION USTEKINUMAB-TTWE PYZCHIVA IV 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-TTWE PYZCHIVA SC 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9996","description":"INJECTION USTEKINUMAB-TTWE PYZCHIVA SC 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-TTWE PYZCHIVA SC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9996","description":"INJECTION USTEKINUMAB-TTWE PYZCHIVA SC 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VALPROATE SODIUM 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3379","description":"INJECTION VALPROATE SODIUM 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VALPROATE SODIUM 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3379","description":"INJECTION VALPROATE SODIUM 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1270.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1303.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1303.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1270.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1303.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1303.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VANCOMYCIN HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3373","description":"INJECTION VANCOMYCIN HCL 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VANCOMYCIN HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3375","description":"INJECTION VANCOMYCIN HCL 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VANCOMYCIN HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3373","description":"INJECTION VANCOMYCIN HCL 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VANCOMYCIN HCL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3375","description":"INJECTION VANCOMYCIN HCL 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VASOPRESSIN (BAXTER) 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2601","description":"INJECTION VASOPRESSIN (BAXTER) 1 UNIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VASOPRESSIN (BAXTER) 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2601","description":"INJECTION VASOPRESSIN (BAXTER) 1 UNIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VASOPRESSIN 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2598","description":"INJECTION VASOPRESSIN 1 UNIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VASOPRESSIN 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2598","description":"INJECTION VASOPRESSIN 1 UNIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VEDOLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3380","description":"INJECTION VEDOLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VEDOLIZUMAB INTRAVENOUS 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3380","description":"INJECTION VEDOLIZUMAB INTRAVENOUS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VEDOLIZUMAB INTRAVENOUS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3380","description":"INJECTION VEDOLIZUMAB INTRAVENOUS 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":386.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":388.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":386.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":388.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VELMANASE ALFA-TYCV 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0217","description":"INJECTION VELMANASE ALFA-TYCV 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":465.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VELMANASE ALFA-TYCV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0217","description":"INJECTION VELMANASE ALFA-TYCV 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":465.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3397","description":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3397","description":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VON WILLEBRAND FACTOR 1 I.U. VWF:RCO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7179","description":"INJECTION VON WILLEBRAND FACTOR 1 I.U. VWF:RCO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VON WILLEBRAND FACTOR 1 I.U. VWF:RCO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7179","description":"INJECTION VON WILLEBRAND FACTOR 1 I.U. VWF:RCO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VORETIGENE NEPARVOVEC-RZYL 1 B VEC G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3398","description":"INJECTION VORETIGENE NEPARVOVEC-RZYL 1 B VEC G","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VORETIGENE NEPARVOVEC-RZYL 1 B VEC G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3398","description":"INJECTION VORETIGENE NEPARVOVEC-RZYL 1 B VEC G","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VUTRISIRAN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0225","description":"INJECTION VUTRISIRAN 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5009.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5009.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5019.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5019.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VUTRISIRAN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0225","description":"INJECTION VUTRISIRAN 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5009.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5009.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5019.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5019.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZANIDATAMAB HRII 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9276","description":"INJECTION ZANIDATAMAB HRII 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZANIDATAMAB HRII 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9276","description":"INJECTION ZANIDATAMAB HRII 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZENOCUTUZUMAB ZBCO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9382","description":"INJECTION ZENOCUTUZUMAB ZBCO 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZENOCUTUZUMAB ZBCO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9382","description":"INJECTION ZENOCUTUZUMAB ZBCO 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIV-AFLIBERCEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9400","description":"INJECTION ZIV-AFLIBERCEPT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIV-AFLIBERCEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9400","description":"INJECTION ZIV-AFLIBERCEPT 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZOLBETUXIMAB CLZB 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1326","description":"INJECTION ZOLBETUXIMAB CLZB 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZOLBETUXIMAB CLZB 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1326","description":"INJECTION ZOLBETUXIMAB CLZB 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZOLEDRONIC ACID 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3489","description":"INJECTION ZOLEDRONIC ACID 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZOLEDRONIC ACID 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3489","description":"INJECTION ZOLEDRONIC ACID 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, AMIVANTAMAB-VMJW 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9061","description":"INJECTION, AMIVANTAMAB-VMJW 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, AMIVANTAMAB-VMJW 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9061","description":"INJECTION, AMIVANTAMAB-VMJW 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, FOSCARBIDOPA 0.25 MG FOSLEVODOPA 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7356","description":"INJECTION, FOSCARBIDOPA 0.25 MG FOSLEVODOPA 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, FOSCARBIDOPA 0.25 MG FOSLEVODOPA 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7356","description":"INJECTION, FOSCARBIDOPA 0.25 MG FOSLEVODOPA 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, LECANEMAB-IRMB, 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0174","description":"INJECTION, LECANEMAB-IRMB, 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, LONCASTUXIMAB TESIRINE-LPYL, 0.075 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9359","description":"INJECTION, LONCASTUXIMAB TESIRINE-LPYL, 0.075 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":221.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":221.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, LONCASTUXIMAB TESIRINE-LPYL, 0.075 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9359","description":"INJECTION, LONCASTUXIMAB TESIRINE-LPYL, 0.075 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":221.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":221.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, NAFCILLIN SODIUM, 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2290","description":"INJECTION, NAFCILLIN SODIUM, 20 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, NAFCILLIN SODIUM, 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2290","description":"INJECTION, NAFCILLIN SODIUM, 20 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9273","description":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9273","description":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN LINEZOLID NOT THR EQUIV TO J2020 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2021","description":"INJECTN LINEZOLID NOT THR EQUIV TO J2020 200 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN LINEZOLID NOT THR EQUIV TO J2020 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2021","description":"INJECTN LINEZOLID NOT THR EQUIV TO J2020 200 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN OMALIZUMAB-IGEC OMLYCLO BIOSIMILAR 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5154","description":"INJECTN OMALIZUMAB-IGEC OMLYCLO BIOSIMILAR 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN OMALIZUMAB-IGEC OMLYCLO BIOSIMILAR 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5154","description":"INJECTN OMALIZUMAB-IGEC OMLYCLO BIOSIMILAR 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEM AVYXA NOT THER EQUIV TO J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9292","description":"INJECTN PEM AVYXA NOT THER EQUIV TO J9305 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEMETREXED ACCORD NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9296","description":"INJECTN PEMETREXED ACCORD NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEMETREXED ACCORD NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9296","description":"INJECTN PEMETREXED ACCORD NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEMETREXED HOSPIRA NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9294","description":"INJECTN PEMETREXED HOSPIRA NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN PEMETREXED HOSPIRA NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9294","description":"INJECTN PEMETREXED HOSPIRA NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN TIGECYCLINE NOT THR EQUIV TO J3243 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3244","description":"INJECTN TIGECYCLINE NOT THR EQUIV TO J3243 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN TIGECYCLINE NOT THR EQUIV TO J3243 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3244","description":"INJECTN TIGECYCLINE NOT THR EQUIV TO J3243 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN TOCILIZUMAB-AAZG TYENNE BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5135","description":"INJECTN TOCILIZUMAB-AAZG TYENNE BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN TOCILIZUMAB-AAZG TYENNE BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5135","description":"INJECTN TOCILIZUMAB-AAZG TYENNE BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INNOVABURN OR INNOVAMATRIX XL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2022","description":"INNOVABURN OR INNOVAMATRIX XL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INNOVABURN OR INNOVAMATRIX XL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2022","description":"INNOVABURN OR INNOVAMATRIX XL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INNOVAMATRIX AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2001","description":"INNOVAMATRIX AC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INNOVAMATRIX AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2001","description":"INNOVAMATRIX AC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INNOVAMATRIX FD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2039","description":"INNOVAMATRIX FD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INNOVAMATRIX FD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2039","description":"INNOVAMATRIX FD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INNOVAMATRIX FS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2013","description":"INNOVAMATRIX FS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INNOVAMATRIX FS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2013","description":"INNOVAMATRIX FS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INPATIENT TELEHEALTH PHARMACOLOGIC MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0459","description":"INPATIENT TELEHEALTH PHARMACOLOGIC MANAGEMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INPATIENT TELEHEALTH PHARMACOLOGIC MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0459","description":"INPATIENT TELEHEALTH PHARMACOLOGIC MANAGEMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1233.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1233.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1233.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1233.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.7895,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":371.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":437.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":371.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":437.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":322.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":379.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":322.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":379.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":390.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":458.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":390.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":458.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":271.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":271.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":294.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":294.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33270","description":"INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":434.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":511.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33270","description":"INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":434.3585,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":511.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":173.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":593.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":173.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":593.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":593.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33988","description":"INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.9975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":511.9975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":602.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33988","description":"INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":511.9975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":511.9975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":602.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":407.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":479.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":407.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":479.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":425.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":500.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":425.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":425.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":500.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":414.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":487.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":414.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":414.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":487.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":487.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":426.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.9545,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":426.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":426.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":168.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":168.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INTRAUTERINE DEVICE IUD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58300","description":"INSERTION INTRAUTERINE DEVICE IUD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INTRAUTERINE DEVICE IUD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58300","description":"INSERTION INTRAUTERINE DEVICE IUD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NON-BIODEGRADABLE RX DELIVERY IMPL 4 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0516","description":"INSERTION NON-BIODEGRADABLE RX DELIVERY IMPL 4 OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NON-BIODEGRADABLE RX DELIVERY IMPL 4 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0516","description":"INSERTION NON-BIODEGRADABLE RX DELIVERY IMPL 4 OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PHRENIC NERVE STIMULATOR SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33276","description":"INSERTION PHRENIC NERVE STIMULATOR SYSTEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":435.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PHRENIC NERVE STIMULATOR SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33276","description":"INSERTION PHRENIC NERVE STIMULATOR SYSTEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":435.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/RS and I  LT  5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36572","description":"INSERTION PICC W/RS and I  LT  5 YR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/RS and I  LT  5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36572","description":"INSERTION PICC W/RS and I  LT  5 YR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/RS and I 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36573","description":"INSERTION PICC W/RS and I 5 YR OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":315.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/RS and I 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36573","description":"INSERTION PICC W/RS and I 5 YR OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":315.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61889","description":"INSERTION SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":828.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":974.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":974.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61889","description":"INSERTION SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":828.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":974.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":974.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33285","description":"INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3866.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3866.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33285","description":"INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3866.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3866.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":466.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":548.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":466.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":548.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":292.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":292.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":292.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":291.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":291.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22853","description":"INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":214.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22853","description":"INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":214.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22859","description":"INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":277.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22859","description":"INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":277.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":353.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":353.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":266.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":313.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":266.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":313.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1344.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1344.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1344.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1344.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1010.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1010.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1010.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":451.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":451.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":330.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":330.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":803.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":803.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33271","description":"INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.0945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":329.0945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":387.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33271","description":"INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.0945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":329.0945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":387.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":387.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD TRNSPTAL W/IMAGE ART and VENOUS ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33991","description":"INSJ PERQ VAD TRNSPTAL W/IMAGE ART and VENOUS ACCESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":454.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/IMAGING ARTERY ACCESS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33990","description":"INSJ PERQ VAD W/IMAGING ARTERY ACCESS ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL ACCESS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33990","description":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL ACCESS ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL ACCESS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33990","description":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL ACCESS ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL and VEN ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33991","description":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL and VEN ACCESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":454.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL and VEN ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33991","description":"INSJ PERQ VAD W/RS and I L HRT ARTERIAL and VEN ACCESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":454.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PHRENIC NRV STIMULATOR TRANSVNS SENSING LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33277","description":"INSJ PHRENIC NRV STIMULATOR TRANSVNS SENSING LD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PHRENIC NRV STIMULATOR TRANSVNS SENSING LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33277","description":"INSJ PHRENIC NRV STIMULATOR TRANSVNS SENSING LD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":689.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":689.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ RX ELUTING IMPLT PUNCTAL DILAT LAC CANAL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68841","description":"INSJ RX ELUTING IMPLT PUNCTAL DILAT LAC CANAL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ RX ELUTING IMPLT PUNCTAL DILAT LAC CANAL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68841","description":"INSJ RX ELUTING IMPLT PUNCTAL DILAT LAC CANAL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":309.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":309.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":309.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51702","description":"INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51702","description":"INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.332,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TRURL ABLTJ TRNSDCR DLVR THRM US PRST8 TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51721","description":"INSJ TRURL ABLTJ TRNSDCR DLVR THRM US PRST8 TISS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":392.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TRURL ABLTJ TRNSDCR DLVR THRM US PRST8 TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51721","description":"INSJ TRURL ABLTJ TRNSDCR DLVR THRM US PRST8 TISS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":392.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":239.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":476.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":239.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":476.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":548.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":548.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.8495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.8495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":446.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.8495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.8495,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":446.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1715.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1715.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1715.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1715.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1230.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1230.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1230.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1230.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1051.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1051.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1051.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":503.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":591.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":503.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":591.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":591.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":646.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":760.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":646.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":760.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4439","description":"INSTAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4439","description":"INSTAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTILL BUPIVACAINE  and  MELOXICAM 1 MG/0.03 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0668","description":"INSTILL BUPIVACAINE  and  MELOXICAM 1 MG/0.03 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILL BUPIVACAINE  and  MELOXICAM 1 MG/0.03 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0668","description":"INSTILL BUPIVACAINE  and  MELOXICAM 1 MG/0.03 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILLATION CIPROFLOXACIN OTIC SUSPENSION 6 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7342","description":"INSTILLATION CIPROFLOXACIN OTIC SUSPENSION 6 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILLATION CIPROFLOXACIN OTIC SUSPENSION 6 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7342","description":"INSTILLATION CIPROFLOXACIN OTIC SUSPENSION 6 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILLATION TRD 1.35 MG  and  HEP SODIUM 100 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0911","description":"INSTILLATION TRD 1.35 MG  and  HEP SODIUM 100 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILLATION TRD 1.35 MG  and  HEP SODIUM 100 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0911","description":"INSTILLATION TRD 1.35 MG  and  HEP SODIUM 100 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99177","description":"INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99177","description":"INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL  and  RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99174","description":"INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL  and  RPT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL  and  RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99174","description":"INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL  and  RPT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.2,"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":"2022","billing_code":"J1817","description":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN FIASP FOR ADM THRU DME PER 50 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1811","description":"INSULIN FIASP FOR ADM THRU DME PER 50 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN FIASP FOR ADM THRU DME PER 50 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1811","description":"INSULIN FIASP FOR ADM THRU DME PER 50 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN FIASP PER 5 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1812","description":"INSULIN FIASP PER 5 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN FIASP PER 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1812","description":"INSULIN FIASP PER 5 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN LYUMJEV FOR ADM THRU DME PER 50 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1813","description":"INSULIN LYUMJEV FOR ADM THRU DME PER 50 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN LYUMJEV FOR ADM THRU DME PER 50 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1813","description":"INSULIN LYUMJEV FOR ADM THRU DME PER 50 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN LYUMJEV PER 5 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1814","description":"INSULIN LYUMJEV PER 5 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN LYUMJEV PER 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1814","description":"INSULIN LYUMJEV PER 5 UNITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC TRANSANAL HROID DARTLZJ 2 Plus  W/US GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46948","description":"INT HRHC TRANSANAL HROID DARTLZJ 2 Plus  W/US GDN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":299.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":352.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC TRANSANAL HROID DARTLZJ 2 Plus  W/US GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46948","description":"INT HRHC TRANSANAL HROID DARTLZJ 2 Plus  W/US GDN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":299.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":352.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGR LANCING  and  BS TEST CART HBGM Q 50 TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4271","description":"INTEGR LANCING  and  BS TEST CART HBGM Q 50 TESTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGR LANCING  and  BS TEST CART HBGM Q 50 TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4271","description":"INTEGR LANCING  and  BS TEST CART HBGM Q 50 TESTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4104","description":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4104","description":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4105","description":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4105","description":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4114","description":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1494.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1494.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4114","description":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1494.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1494.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4108","description":"INTEGRA MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4108","description":"INTEGRA MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"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":null,"billing_code":"G9539","description":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERCALARY ALLOGRAFT COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20934","description":"INTERCALARY ALLOGRAFT COMPLETE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":492.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":579.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERCALARY ALLOGRAFT COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20934","description":"INTERCALARY ALLOGRAFT COMPLETE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":492.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":579.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":477.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":500.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":477.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":477.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":500.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERFYL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4171","description":"INTERFYL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERFYL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4171","description":"INTERFYL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.09,"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":null,"billing_code":"3272F","description":"INTERMED RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.99,"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":"2022","billing_code":"92082","description":"INTERMEDIATE VISUAL FIELD XM UNI/BI I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.45,"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":"2022","billing_code":"A4352","description":"INTERMITTENT URINARY CATHETER; COUDE TIP EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":390.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERPJ/EXPLNAJ RESULTS PSYCHIATRIC EXAM FAMILY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90887","description":"INTERPJ/EXPLNAJ RESULTS PSYCHIATRIC EXAM FAMILY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERPJ/EXPLNAJ RSLTS PSYC/OTH XM and PX/DATA FAMILY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90887","description":"INTERPJ/EXPLNAJ RSLTS PSYC/OTH XM and PX/DATA FAMILY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERPJ/EXPLNAJ RSLTS PSYC/OTH XM and PX/DATA FAMILY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90887","description":"INTERPJ/EXPLNAJ RSLTS PSYC/OTH XM and PX/DATA FAMILY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG and PRGRMG IMPL PHRENIC NRV STIMULATOR SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93151","description":"INTERROG and PRGRMG IMPL PHRENIC NRV STIMULATOR SYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG and PRGRMG IMPL PHRENIC NRV STIMULATOR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93151","description":"INTERROG and PRGRMG IMPL PHRENIC NRV STIMULATOR SYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG and PRGRMG IPNSS DURING POLYSOMNOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93152","description":"INTERROG and PRGRMG IPNSS DURING POLYSOMNOGRAPHY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG and PRGRMG IPNSS DURING POLYSOMNOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93152","description":"INTERROG and PRGRMG IPNSS DURING POLYSOMNOGRAPHY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION WITHOUT PROGRAMMING IPNSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93153","description":"INTERROGATION WITHOUT PROGRAMMING IPNSS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION WITHOUT PROGRAMMING IPNSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93153","description":"INTERROGATION WITHOUT PROGRAMMING IPNSS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3113.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3113.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15344.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15344.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14004.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14004.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2702.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2702.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1567.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1567.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":353.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":416.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":594.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":353.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":416.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":594.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRABUC SC DEL OF AM RF EMF DVC FOR CANCER TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0767","description":"INTRABUC SC DEL OF AM RF EMF DVC FOR CANCER TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":285.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":479.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":285.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":479.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":323.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":323.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.731,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOCULAR PRES RED BY VAL  GT or equal to  20 PCT  PRE-I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1225","description":"INTRAOCULAR PRES RED BY VAL  GT or equal to  20 PCT  PRE-I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOCULAR PRES RED BY VAL  GT or equal to  20 PCT  PRE-I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1225","description":"INTRAOCULAR PRES RED BY VAL  GT or equal to  20 PCT  PRE-I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOCULAR PRES RED BY VALUE  LT 20 PCT  PRE-INT LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1224","description":"INTRAOCULAR PRES RED BY VALUE  LT 20 PCT  PRE-INT LVL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOCULAR PRES RED BY VALUE  LT 20 PCT  PRE-INT LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1224","description":"INTRAOCULAR PRES RED BY VALUE  LT 20 PCT  PRE-INT LVL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAPULM PERCUSSIVE VENT SYSTEM AND REL ACSSORIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0481","description":"INTRAPULM PERCUSSIVE VENT SYSTEM AND REL ACSSORIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7500.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7500.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAUTERINE COPPER CONTRACEPTIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7300","description":"INTRAUTERINE COPPER CONTRACEPTIVE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1218.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1218.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1270.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAUTERINE COPPER CONTRACEPTIVE MIUDELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7299","description":"INTRAUTERINE COPPER CONTRACEPTIVE MIUDELLA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAUTERINE COPPER CONTRACEPTIVE MIUDELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7299","description":"INTRAUTERINE COPPER CONTRACEPTIVE MIUDELLA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAUTERINE COPPER CONTRACEPTIVE PARAGARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7300","description":"INTRAUTERINE COPPER CONTRACEPTIVE PARAGARD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1218.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1218.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1270.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAUTERINE COPPER CONTRACEPTIVE PARAGARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7300","description":"INTRAUTERINE COPPER CONTRACEPTIVE PARAGARD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1218.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1218.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1270.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVAG DVC INTND TO STRENGTH PFM DUR KEGEL EX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0715","description":"INTRAVAG DVC INTND TO STRENGTH PFM DUR KEGEL EX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR US NONCORONARY RS AND I ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37253","description":"INTRAVASCULAR US NONCORONARY RS AND I ADDL VESSEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR US NONCORONARY RS AND I ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37253","description":"INTRAVASCULAR US NONCORONARY RS AND I ADDL VESSEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR US NONCORONARY RS AND I INTIAL VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37252","description":"INTRAVASCULAR US NONCORONARY RS AND I INTIAL VESSEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1026.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR US NONCORONARY RS AND I INTIAL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37252","description":"INTRAVASCULAR US NONCORONARY RS AND I INTIAL VESSEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1026.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVEN INF PEMIVIBART PRE-EP ONLY CT ADT  and  ADO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0224","description":"INTRAVEN INF PEMIVIBART PRE-EP ONLY CT ADT  and  ADO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":432.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVEN INF PEMIVIBART PRE-EP ONLY CT ADT  and  ADO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0224","description":"INTRAVEN INF PEMIVIBART PRE-EP ONLY CT ADT  and  ADO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":432.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":432.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENOUS INFUSION CIPAGLUCOSIDASE ALFA-ATGA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0138","description":"INTRAVENOUS INFUSION CIPAGLUCOSIDASE ALFA-ATGA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENOUS INFUSION CIPAGLUCOSIDASE ALFA-ATGA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0138","description":"INTRAVENOUS INFUSION CIPAGLUCOSIDASE ALFA-ATGA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36902","description":"INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":964.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36902","description":"INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":964.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3232.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3232.48,"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":null,"billing_code":"G9305","description":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.64,"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":null,"billing_code":"3284F","description":"IO PRESSURE REDUCED  GT or equal to  15 PCT  PRE-INTERVENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IONM REMOTE/NEARBY OR GT 1 PATIENT IN OR PER HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95941","description":"IONM REMOTE/NEARBY OR GT 1 PATIENT IN OR PER HOUR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IONM REMOTE/NEARBY OR GT 1 PATIENT IN OR PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95941","description":"IONM REMOTE/NEARBY OR GT 1 PATIENT IN OR PER HOUR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IOP MEASUREMENT NOT DOCUMENTED REASON NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1226","description":"IOP MEASUREMENT NOT DOCUMENTED REASON NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MEASUREMENT NOT DOCUMENTED REASON NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1226","description":"IOP MEASUREMENT NOT DOCUMENTED REASON NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1818.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1818.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99255","description":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99255","description":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99253","description":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99253","description":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99254","description":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99254","description":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99252","description":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99252","description":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT;  GT 31 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0549","description":"IPE PHONE/INET/EHR ASMT;  GT 31 MIN MED CONSULT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT;  GT 31 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0549","description":"IPE PHONE/INET/EHR ASMT;  GT 31 MIN MED CONSULT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT; 11-20 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0547","description":"IPE PHONE/INET/EHR ASMT; 11-20 MIN MED CONSULT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT; 11-20 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0547","description":"IPE PHONE/INET/EHR ASMT; 11-20 MIN MED CONSULT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT; 21-30 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0548","description":"IPE PHONE/INET/EHR ASMT; 21-30 MIN MED CONSULT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT; 21-30 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0548","description":"IPE PHONE/INET/EHR ASMT; 21-30 MIN MED CONSULT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT; 5-10 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0546","description":"IPE PHONE/INET/EHR ASMT; 5-10 MIN MED CONSULT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR ASMT; 5-10 MIN MED CONSULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0546","description":"IPE PHONE/INET/EHR ASMT; 5-10 MIN MED CONSULT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR DX MI TX  GT 5 MIN MED CONS TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0550","description":"IPE PHONE/INET/EHR DX MI TX  GT 5 MIN MED CONS TIME","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR DX MI TX  GT 5 MIN MED CONS TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0550","description":"IPE PHONE/INET/EHR DX MI TX  GT 5 MIN MED CONS TIME","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR DX MI TX 30 MIN MED CONS TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0551","description":"IPE PHONE/INET/EHR DX MI TX 30 MIN MED CONS TIME","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR DX MI TX 30 MIN MED CONS TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0551","description":"IPE PHONE/INET/EHR DX MI TX 30 MIN MED CONS TIME","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":227.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":227.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIS SUPPORTED INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2631","description":"IRIS SUPPORTED INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIS SUPPORTED INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2631","description":"IRIS SUPPORTED INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRADIATION BLOOD PRODUCT EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86945","description":"IRRADIATION BLOOD PRODUCT EACH UNIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION CORPORA CAVERNOSA PRIAPISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54220","description":"IRRIGATION CORPORA CAVERNOSA PRIAPISM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION CORPORA CAVERNOSA PRIAPISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54220","description":"IRRIGATION CORPORA CAVERNOSA PRIAPISM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4437","description":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4437","description":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4436","description":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4436","description":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.5,"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":null,"billing_code":"1066F","description":"ISCHEMIC STROKE SX ONSET  GT or equal to 3 HRS PRIOR ARRIV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IVES INSTAL NADOFARAGN FIRADENOVC-VNCG PER THR D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9029","description":"IVES INSTAL NADOFARAGN FIRADENOVC-VNCG PER THR D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64274.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64274.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64282.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64282.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IVES INSTAL NADOFARAGN FIRADENOVC-VNCG PER THR D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9029","description":"IVES INSTAL NADOFARAGN FIRADENOVC-VNCG PER THR D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64274.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64274.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64282.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64282.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.06,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAK2 GENE ANALYSIS P.VAL617PHE VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81270","description":"JAK2 GENE ANALYSIS P.VAL617PHE VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAK2 TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81279","description":"JAK2 TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4049.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4049.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAF DVC ANY MATERIAL ADJUSTABILITY CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2006","description":"KAF DVC ANY MATERIAL ADJUSTABILITY CUSTOM FAB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30618.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30618.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":714.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":714.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":557.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3855.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3855.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":704.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":692.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":692.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":736.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":736.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":805.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":621.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":815.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":854.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1059.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1059.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1509.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1509.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1024.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1024.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1419.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1419.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":794.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":794.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERECIS OMEGA3 MARIGEN SHIELD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2019","description":"KERECIS OMEGA3 MARIGEN SHIELD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERECIS OMEGA3 MARIGEN SHIELD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2019","description":"KERECIS OMEGA3 MARIGEN SHIELD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERECIS OMEGA3 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4158","description":"KERECIS OMEGA3 PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERECIS OMEGA3 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4158","description":"KERECIS OMEGA3 PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIT GENE ANALYSIS D816 VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81273","description":"KIT GENE ANALYSIS D816 VARIANT(S)","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81272","description":"KIT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":247.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4077.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4077.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3008.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3008.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2740.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2740.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":276.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":796.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":415.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":445.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":427.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":952.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":952.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":535.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1852","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":643.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ELAS WITH CONDYLAR PADS AND JOINTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1821","description":"KNEE ORTHOSIS ELAS WITH CONDYLAR PADS AND JOINTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":560.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":972.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":972.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":345.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1851","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":689.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":689.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":600.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":463.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KRAS GENE ANALYSIS ADDITIONAL VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81276","description":"KRAS GENE ANALYSIS ADDITIONAL VARIANT(S)","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KRAS GENE ANALYSIS VARIANTS IN EXON 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81275","description":"KRAS GENE ANALYSIS VARIANTS IN EXON 2","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.94,"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":null,"billing_code":"3084F","description":"KT/V  GT or equal to  1.7","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":338.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":483.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":338.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":483.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.071,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9443","description":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9443","description":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1312.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1312.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1312.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1312.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1073.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1073.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1073.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1073.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETEC/FORAMOT DRG ARTHRD LMBR EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63053","description":"LAM FACETEC/FORAMOT DRG ARTHRD LMBR EA ADDL SGM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETEC/FORAMOT DRG ARTHRD LMBR EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63053","description":"LAM FACETEC/FORAMOT DRG ARTHRD LMBR EA ADDL SGM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETEC/FORAMOT DRG ARTHRD LUMBAR 1 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63052","description":"LAM FACETEC/FORAMOT DRG ARTHRD LUMBAR 1 VRT SGM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETEC/FORAMOT DRG ARTHRD LUMBAR 1 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63052","description":"LAM FACETEC/FORAMOT DRG ARTHRD LUMBAR 1 VRT SGM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1001.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1001.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":860.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":968.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1001.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1001.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1001.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1001.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":860.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":860.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":968.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":968.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMELLAS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4292","description":"LAMELLAS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMELLAS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4292","description":"LAMELLAS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMELLAS XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4291","description":"LAMELLAS XT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMELLAS XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4291","description":"LAMELLAS XT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1147.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1147.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1147.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":724.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":724.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":724.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":724.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT DCMPRN NRV RT RPR ANULR DFCT 1NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63032","description":"LAMOT DCMPRN NRV RT RPR ANULR DFCT 1NTRSPC LMBR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT DCMPRN NRV RT RPR ANULR DFCT 1NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63032","description":"LAMOT DCMPRN NRV RT RPR ANULR DFCT 1NTRSPC LMBR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1004.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1004.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1004.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LANTHANUM CARBONATE ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0607","description":"LANTHANUM CARBONATE ORAL 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LANTHANUM CARBONATE ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0607","description":"LANTHANUM CARBONATE ORAL 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LANTHANUM CARBONATE PWD 5 MG NOT EQUIV TO J0607","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0608","description":"LANTHANUM CARBONATE PWD 5 MG NOT EQUIV TO J0607","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LANTHANUM CARBONATE PWD 5 MG NOT EQUIV TO J0607","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0608","description":"LANTHANUM CARBONATE PWD 5 MG NOT EQUIV TO J0607","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAP ISLET CELL TPLNT INCL PORTAL VEIN CATH AND INFUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0342","description":"LAP ISLET CELL TPLNT INCL PORTAL VEIN CATH AND INFUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":302.0711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":302.0711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":324.4563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":324.4563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":332.4525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":332.4525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":339.6471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":339.6471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":362.3129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":362.3129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":364.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":364.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.7901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.7901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":397.2636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":397.2636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":414.5386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":414.5386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":420.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":420.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":429.1682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":429.1682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":486.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":486.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAP ISLET CELL TPLNT INCL PORTAL VEIN CATH AND INFUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0342","description":"LAP ISLET CELL TPLNT INCL PORTAL VEIN CATH AND INFUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":302.0711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":302.0711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":324.4563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":324.4563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":332.4525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":332.4525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":339.6471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":339.6471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":362.3129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":362.3129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":364.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":364.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.7901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.7901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":397.2636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":397.2636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":414.5386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":414.5386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":420.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":420.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":429.1682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":429.1682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":486.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":486.6845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1037.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1037.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1037.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1037.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":651.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":651.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1037.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1037.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1037.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1037.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":515.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":515.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":307.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":307.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":272.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":272.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":815.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":815.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":443.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":443.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROT ISLET CELL TPLNT W/PORTL VEIN CATH and INFUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0343","description":"LAPAROT ISLET CELL TPLNT W/PORTL VEIN CATH and INFUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":506.3042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":506.3042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":536.5253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":536.5253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":547.8282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":547.8282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":555.2232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":555.2232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":592.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":592.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":606.3666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":606.3666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":611.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":611.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":612.8397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":612.8397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":650.6161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":650.6161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":664.7447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":664.7447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":669.9553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":669.9553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.9595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.9595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":742.1012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":742.1012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.2342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.2342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":80.6632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":80.6632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROT ISLET CELL TPLNT W/PORTL VEIN CATH and INFUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0343","description":"LAPAROT ISLET CELL TPLNT W/PORTL VEIN CATH and INFUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":506.3042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":506.3042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":536.5253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":536.5253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":547.8282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":547.8282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":555.2232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":555.2232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":592.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":592.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":606.3666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":606.3666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":611.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":611.2365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":612.8397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":612.8397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":650.6161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":650.6161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":664.7447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":664.7447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":669.9553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":669.9553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.9595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.9595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":742.1012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":742.1012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.2342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.2342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":80.6632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":80.6632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":258.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":258.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":694.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":694.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":694.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1389.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1389.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1389.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1389.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1297.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1297.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1297.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1118.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1118.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1118.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1118.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":966.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":966.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":966.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":415.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":415.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55866","description":"LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1110.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1110.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":543.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":543.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":673.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":673.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":578.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":578.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":837.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":837.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT RPBIC RAD W/BI PEL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55869","description":"LAPS SURG PRST8ECT RPBIC RAD W/BI PEL LYMPHADEC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1043.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT RPBIC RAD W/BI PEL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55869","description":"LAPS SURG PRST8ECT RPBIC RAD W/BI PEL LYMPHADEC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1043.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55866","description":"LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1110.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1110.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55866","description":"LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1110.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1110.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55866","description":"LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1110.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1110.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT RPBIC RADICAL W/LYMPH NODE BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55868","description":"LAPS SURG PRST8ECT RPBIC RADICAL W/LYMPH NODE BX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":868.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":868.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT RPBIC RADICAL W/LYMPH NODE BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55868","description":"LAPS SURG PRST8ECT RPBIC RADICAL W/LYMPH NODE BX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":868.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":868.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT SMPL STOT ROBOTIC ASSISTANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55867","description":"LAPS SURG PRST8ECT SMPL STOT ROBOTIC ASSISTANCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":799.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG PRST8ECT SMPL STOT ROBOTIC ASSISTANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55867","description":"LAPS SURG PRST8ECT SMPL STOT ROBOTIC ASSISTANCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":799.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58575","description":"LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1497.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1497.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58575","description":"LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1497.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1497.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":637.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":637.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":637.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/BI TOT PEL LMPHADEC  and  OMNTC LYMPH BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38573","description":"LAPS W/BI TOT PEL LMPHADEC  and  OMNTC LYMPH BX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":937.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/BI TOT PEL LMPHADEC  and  OMNTC LYMPH BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38573","description":"LAPS W/BI TOT PEL LMPHADEC  and  OMNTC LYMPH BX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":937.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":937.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":251.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":295.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":251.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":295.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":227.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":227.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":239.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":281.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":239.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":281.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":366.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":430.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":366.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":430.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":214.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":214.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":510.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":510.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1170.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1170.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1170.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1170.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1555.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1555.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1555.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1555.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1057.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1057.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1057.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1057.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1438.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1438.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1438.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1438.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":529.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":622.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":529.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":529.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":622.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":622.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":653.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":769.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":653.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":769.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT  LT  12 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31551","description":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT  LT  12 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1187.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1187.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT  LT  12 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31551","description":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT  LT  12 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1187.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1187.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS  GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31552","description":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS  GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1197.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS  GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31552","description":"LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS  GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1197.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/STENT  LT  12 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31553","description":"LARYNGOPLASTY LARYNGEAL STEN W/STENT  LT  12 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1304.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1304.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/STENT  LT  12 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31553","description":"LARYNGOPLASTY LARYNGEAL STEN W/STENT  LT  12 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1304.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1304.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS  GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31554","description":"LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS  GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1370.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1370.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS  GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31554","description":"LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS  GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1370.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1370.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY MEDIALIZATION UNLIATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31591","description":"LARYNGOPLASTY MEDIALIZATION UNLIATERAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":864.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY MEDIALIZATION UNLIATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31591","description":"LARYNGOPLASTY MEDIALIZATION UNLIATERAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":864.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":864.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":806.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":948.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":948.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":806.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":806.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":948.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":948.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":232.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":273.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":232.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":273.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31572","description":"LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":400.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31572","description":"LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":400.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31573","description":"LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":215.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31573","description":"LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":215.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31574","description":"LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":775.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31574","description":"LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":775.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":775.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":769.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":769.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":239.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":239.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":321.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":321.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LECANEMAB-IRMB FOR INTRAVENOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0174","description":"LECANEMAB-IRMB FOR INTRAVENOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LECANEMAB-IRMB FOR INTRAVENOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0174","description":"LECANEMAB-IRMB FOR INTRAVENOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.81,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.59,"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":"2022","billing_code":"A5114","description":"LEG STRAP; FOAM/FABRIC REPLACEMENT ONLY PER SET","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1790.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1790.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1143.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1143.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":795.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1480.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1480.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":942.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENS INDX  GT or equal to  1.66 PLSTC/ GT or equal to  1.8","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2783","description":"LENS INDX  GT or equal to  1.66 PLSTC/ GT or equal to  1.8","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENS INDX  GT or equal to  1.66 PLSTC/ GT or equal to  1.8","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2783","description":"LENS INDX  GT or equal to  1.66 PLSTC/ GT or equal to  1.8","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENS INDX 1.54-1.65 PLSTC/1.60-1.79 GLASS LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2782","description":"LENS INDX 1.54-1.65 PLSTC/1.60-1.79 GLASS LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENS INDX 1.54-1.65 PLSTC/1.60-1.79 GLASS LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2782","description":"LENS INDX 1.54-1.65 PLSTC/1.60-1.79 GLASS LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2784","description":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2784","description":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR LENS PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2221","description":"LENTICULAR LENS PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR LENS PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2221","description":"LENTICULAR LENS PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR LENS PER LENS SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2121","description":"LENTICULAR LENS PER LENS SINGLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR LENS PER LENS SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2121","description":"LENTICULAR LENS PER LENS SINGLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR LENS PER LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2321","description":"LENTICULAR LENS PER LENS TRIFOCAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR LENS PER LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2321","description":"LENTICULAR LENS PER LENS TRIFOCAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2215","description":"LENTICULAR PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2215","description":"LENTICULAR PER LENS BIFOCAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS SINGLE VISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2115","description":"LENTICULAR PER LENS SINGLE VISION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS SINGLE VISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2115","description":"LENTICULAR PER LENS SINGLE VISION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2315","description":"LENTICULAR PER LENS TRIFOCAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENTICULAR PER LENS TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2315","description":"LENTICULAR PER LENS TRIFOCAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE TRANSFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86950","description":"LEUKOCYTE TRANSFUSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4819.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4819.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4819.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4819.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1952","description":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1952","description":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88305","description":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":308.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7296","description":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1237.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1237.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7296","description":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1237.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1237.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7301","description":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1030.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1030.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7301","description":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1030.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1030.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7297","description":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":732.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7298","description":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1237.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1237.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS IU COC SYS LILETTA 52 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7297","description":"LEVONORGESTREL-RLS IU COC SYS LILETTA 52 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":732.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS IU COC SYS LILETTA 52 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7297","description":"LEVONORGESTREL-RLS IU COC SYS LILETTA 52 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":732.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS IU COC SYS MIRENA 52 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7298","description":"LEVONORGESTREL-RLS IU COC SYS MIRENA 52 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1237.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1237.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS IU COC SYS MIRENA 52 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7298","description":"LEVONORGESTREL-RLS IU COC SYS MIRENA 52 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1237.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1237.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1260","description":"LGHTWT WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":957.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1029.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1029.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":788.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":788.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1250","description":"LGHTWT WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRESTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":717.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":717.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL AND SOLE CORK PER INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3320","description":"LIFT ELEVATION HEEL AND SOLE CORK PER INCH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":532.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":354.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":354.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":467.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":549.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":467.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":549.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":826.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":826.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":895.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":895.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.28,"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":null,"billing_code":"4110F","description":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.04,"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":null,"billing_code":"3011F","description":"LIPID PANEL RESULTS DOCUMENTED  AND  REVIEWED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":366.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":366.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":366.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":430.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":366.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":430.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":296.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":348.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":510.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":296.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":348.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":348.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":510.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61737","description":"LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":720.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":847.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61737","description":"LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":720.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":847.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":847.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61736","description":"LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":604.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":710.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61736","description":"LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":604.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":710.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER DS ALYS 3 BIOMARKERS IA SRM PROGNOSTIC ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81517","description":"LIVER DS ALYS 3 BIOMARKERS IA SRM PROGNOSTIC ALG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER ELASTOGRAPHY W/O IMAG W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91200","description":"LIVER ELASTOGRAPHY W/O IMAG W/I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER ELASTOGRAPHY W/O IMAG W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91200","description":"LIVER ELASTOGRAPHY W/O IMAG W/I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCKING RING FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4286","description":"LOCKING RING FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCKING RING FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4286","description":"LOCKING RING FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCM 100-199 MG/ML IODINE CONCENTRATION PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9965","description":"LOCM 100-199 MG/ML IODINE CONCENTRATION PER ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCM 100-199 MG/ML IODINE CONCENTRATION PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9965","description":"LOCM 100-199 MG/ML IODINE CONCENTRATION PER ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCM 200-299 MG/ML IODINE CONCENTRATION PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9966","description":"LOCM 200-299 MG/ML IODINE CONCENTRATION PER ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCM 200-299 MG/ML IODINE CONCENTRATION PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9966","description":"LOCM 200-299 MG/ML IODINE CONCENTRATION PER ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"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":null,"billing_code":"G9699","description":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 FREQUENCY NON-THERMAL ULTRASOUND PER DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97610","description":"LOW FREQUENCY NON-THERMAL ULTRASOUND PER DAY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.4257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.4257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":213.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":213.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":219.5642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":219.5642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":339.0859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":339.0859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW FREQUENCY NON-THERMAL ULTRASOUND PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97610","description":"LOW FREQUENCY NON-THERMAL ULTRASOUND PER DAY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.4257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.4257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":213.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":213.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":219.5642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":219.5642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":339.0859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":339.0859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.998,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ORTHOSES NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2999","description":"LOWER EXTREMITY ORTHOSES NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREMITY PROSTHESIS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5999","description":"LOWER EXTREMITY PROSTHESIS NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER XTR FASCIAL PLANE BLOCK UNI CONT INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64474","description":"LOWER XTR FASCIAL PLANE BLOCK UNI CONT INFUSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LOWER XTR FASCIAL PLANE BLOCK UNI CONT INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64474","description":"LOWER XTR FASCIAL PLANE BLOCK UNI CONT INFUSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64473","description":"LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64473","description":"LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOXAPINE FOR INHALATION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2062","description":"LOXAPINE FOR INHALATION 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOXAPINE FOR INHALATION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2062","description":"LOXAPINE FOR INHALATION 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.52,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":880.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":990.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":990.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":757.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":757.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":271.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":271.88,"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":null,"billing_code":"M1008","description":"LT 50 PCT  OF TOT NUMBER OF A PT O/P RA ENC ASSESSED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.05,"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":"2022","billing_code":"A6449","description":"LT COMPRS BANDGE ELAST WDTH  GT or equal to  3  and   LT 5","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":360.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":334.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":827.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":246.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1240.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1240.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1040.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1040.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":835.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG EXPAN AIRWAY CLR CONT HF OSC  and  NEBUL DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0469","description":"LUNG EXPAN AIRWAY CLR CONT HF OSC  and  NEBUL DVC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12645.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12645.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1817.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1817.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1817.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1817.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1686.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1686.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1686.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1686.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2458.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2458.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2458.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2458.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2318.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2318.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2318.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2318.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUTETIUM LU 177 DOTATATE THERAPEUTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9513","description":"LUTETIUM LU 177 DOTATATE THERAPEUTIC 1 MCI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUTETIUM LU 177 DOTATATE THERAPEUTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9513","description":"LUTETIUM LU 177 DOTATATE THERAPEUTIC 1 MCI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUTETIUM LU 177 VIPIVOTIDE TETRAXETAN THER 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9607","description":"LUTETIUM LU 177 VIPIVOTIDE TETRAXETAN THER 1 MCI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1684.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1684.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUTETIUM LU 177 VIPIVOTIDE TETRAXETAN THER 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9607","description":"LUTETIUM LU 177 VIPIVOTIDE TETRAXETAN THER 1 MCI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1684.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1684.26,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":190.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":190.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5292.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5292.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5307.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5307.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5292.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5292.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5307.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5307.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1009.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1023.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1023.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1009.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1023.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1023.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":895.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR EACH MULTIPRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88374","description":"M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR EACH MULTIPRB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR PER SPEC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88373","description":"M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR PER SPEC EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88377","description":"M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH QUANT/SEMIQ MNL PER SPEC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88369","description":"M/PHMTRC ALYS ISH QUANT/SEMIQ MNL PER SPEC EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1108.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1108.58,"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":"2022","billing_code":"32820","description":"MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1108.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1108.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":411.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":566.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":411.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":566.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":566.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":371.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.63,"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":null,"billing_code":"3342F","description":"MAMMO ASSESSMENT CAT BENIGN DOCD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.56,"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":"2022","billing_code":"26341","description":"MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":227.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":227.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANTLE DL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4349","description":"MANTLE DL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANTLE DL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4349","description":"MANTLE DL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2500.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2500.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2500.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2500.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20700","description":"MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20700","description":"MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSJ I-ARTIC DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20704","description":"MANUAL PREP AND INSJ I-ARTIC DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSJ I-ARTIC DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20704","description":"MANUAL PREP AND INSJ I-ARTIC DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSJ INTRAMEDULLARY DRUG DLVR DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20702","description":"MANUAL PREP AND INSJ INTRAMEDULLARY DRUG DLVR DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSJ INTRAMEDULLARY DRUG DLVR DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20702","description":"MANUAL PREP AND INSJ INTRAMEDULLARY DRUG DLVR DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.66,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1636.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1636.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1636.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1636.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2850.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2850.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2850.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2850.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":478.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":812.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":473.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":473.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY MANUAL STANDING SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2230","description":"MANUAL WHEELCHAIR ACCESSORY MANUAL STANDING SYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3000.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3000.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4851.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4851.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4851.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4851.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":420.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":420.0,"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":null,"billing_code":"G9151","description":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARIGEN PACTO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2038","description":"MARIGEN PACTO PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARIGEN PACTO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2038","description":"MARIGEN PACTO PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":667.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":667.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":667.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":660.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":660.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":632.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":632.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":315.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":315.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":315.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":505.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":505.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":552.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":552.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19316","description":"MASTOPEXY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":459.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19316","description":"MASTOPEXY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":459.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRIDERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2027","description":"MATRIDERM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRIDERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2027","description":"MATRIDERM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4201","description":"MATRION PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4201","description":"MATRION PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRISTEM MICROMATRIX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4118","description":"MATRISTEM MICROMATRIX 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRISTEM MICROMATRIX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4118","description":"MATRISTEM MICROMATRIX 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRIX HD ALLOGRAFT DERMIS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4345","description":"MATRIX HD ALLOGRAFT DERMIS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRIX HD ALLOGRAFT DERMIS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4345","description":"MATRIX HD ALLOGRAFT DERMIS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1089.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1089.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1089.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1089.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1231.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1231.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1231.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1231.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":318.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":318.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCOLN1 MUCOLIPIN1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81290","description":"MCOLN1 MUCOLIPIN1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCRSCP XM HAIR PLUCK/CLIP FOR CNTS/STRUCT ABNORM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96902","description":"MCRSCP XM HAIR PLUCK/CLIP FOR CNTS/STRUCT ABNORM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCRSCP XM HAIR PLUCK/CLIP FOR CNTS/STRUCT ABNORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96902","description":"MCRSCP XM HAIR PLUCK/CLIP FOR CNTS/STRUCT ABNORM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3090F","description":"MDD SEVERE WITHOUT PSYCHOTIC FEATURES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":306.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":306.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECH ALLERGEN PARTCL BAR/INH FILT CRM NASL TOPIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7023","description":"MECH ALLERGEN PARTCL BAR/INH FILT CRM NASL TOPIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECH ALLERGEN PARTCL BAR/INH FILT CRM NASL TOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7023","description":"MECH ALLERGEN PARTCL BAR/INH FILT CRM NASL TOPIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECP2 GENE ANALYSIS DUPLICATION/DELETION VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81304","description":"MECP2 GENE ANALYSIS DUPLICATION/DELETION VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECP2 GENE ANALYSIS FULL SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81302","description":"MECP2 GENE ANALYSIS FULL SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":395.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":395.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECP2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81303","description":"MECP2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":316.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":372.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":316.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":372.18,"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":null,"billing_code":"4325F","description":"MEDICAL  and  SURGICAL TREATMENT OPTION REVIEW W/P","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 FOODS FOR NONINBORN ERRORS OF METABOLISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9432","description":"MEDICAL FOODS FOR NONINBORN ERRORS OF METABOLISM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL FOODS FOR NONINBORN ERRORS OF METABOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9432","description":"MEDICAL FOODS FOR NONINBORN ERRORS OF METABOLISM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.84,"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":"2022","billing_code":"97802","description":"MEDICAL NUTRITION ASSMT AND IVNTJ INDIV EACH 15 MI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.19,"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":null,"billing_code":"1159F","description":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0015F","description":"MELANOMA FOLLOW UP COMPLETED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELPHALAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8600","description":"MELPHALAN ORAL 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMBRANE GRAFT OR MEMBRANE WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4205","description":"MEMBRANE GRAFT OR MEMBRANE WRAP PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMBRANE GRAFT OR MEMBRANE WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4205","description":"MEMBRANE GRAFT OR MEMBRANE WRAP PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMBRANE WRAP-HYDRO TM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4290","description":"MEMBRANE WRAP-HYDRO TM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMBRANE WRAP-HYDRO TM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4290","description":"MEMBRANE WRAP-HYDRO TM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMBRANE WRP LT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4373","description":"MEMBRANE WRP LT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMBRANE WRP LT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4373","description":"MEMBRANE WRP LT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4126","description":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4126","description":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90619","description":"MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90619","description":"MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENIGCCAL PNTVLNT MENACWY TT MENB FHBP VACC IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90623","description":"MENIGCCAL PNTVLNT MENACWY TT MENB FHBP VACC IM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENIGCCAL PNTVLNT MENACWY TT MENB FHBP VACC IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90623","description":"MENIGCCAL PNTVLNT MENACWY TT MENB FHBP VACC IM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENIGCCAL PNTVLNT MENB-4C  and  MENACWY VACC IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90624","description":"MENIGCCAL PNTVLNT MENB-4C  and  MENACWY VACC IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENIGCCAL PNTVLNT MENB-4C  and  MENACWY VACC IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90624","description":"MENIGCCAL PNTVLNT MENB-4C  and  MENACWY VACC IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":267.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":568.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":568.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":323.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METANEPHRINES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83835","description":"METANEPHRINES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.04,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE JYLAMVO ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8611","description":"METHOTREXATE JYLAMVO ORAL 2.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE JYLAMVO ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8611","description":"METHOTREXATE JYLAMVO ORAL 2.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE XATMEP ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8612","description":"METHOTREXATE XATMEP ORAL 2.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE XATMEP ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8612","description":"METHOTREXATE XATMEP ORAL 2.5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT GENE PROMOTER METHYLATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81287","description":"MGMT GENE PROMOTER METHYLATION ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":737.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":737.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT RCP HEMATOP PROGENITOR CELL DONOR  AND ACQUISJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38204","description":"MGMT RCP HEMATOP PROGENITOR CELL DONOR  AND ACQUISJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT RCP HEMATOP PROGENITOR CELL DONOR  AND ACQUISJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38204","description":"MGMT RCP HEMATOP PROGENITOR CELL DONOR  AND ACQUISJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROLYTE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2005","description":"MICROLYTE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROLYTE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2005","description":"MICROLYTE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROLYTE PAINGUARD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2040","description":"MICROLYTE PAINGUARD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROLYTE PAINGUARD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2040","description":"MICROLYTE PAINGUARD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13697.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13697.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13697.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13697.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4290.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4290.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4290.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4290.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSATELLITE INSTAB ANAL MISMATCH REPAIR DEF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81301","description":"MICROSATELLITE INSTAB ANAL MISMATCH REPAIR DEF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2923.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2923.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15730","description":"MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1201.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1201.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":621.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":730.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15730","description":"MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1201.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1201.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":621.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":730.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":730.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2698.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2698.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2840.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2840.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":942.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIGLUSTAT ORAL 65 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1202","description":"MIGLUSTAT ORAL 65 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIGLUSTAT ORAL 65 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1202","description":"MIGLUSTAT ORAL 65 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.78,"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":null,"billing_code":"3353F","description":"MILD TO MOD DEP SYMP BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRO3D PER CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2025","description":"MIRO3D PER CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRO3D PER CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2025","description":"MIRO3D PER CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRO3D PER CU CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2025","description":"MIRO3D PER CU CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRODERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4175","description":"MIRODERM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRODERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4175","description":"MIRODERM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRODRY WOUND MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2031","description":"MIRODRY WOUND MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRODRY WOUND MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2031","description":"MIRODRY WOUND MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIROTRACT WOUND MATRIX SHEET PER CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2029","description":"MIROTRACT WOUND MATRIX SHEET PER CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIROTRACT WOUND MATRIX SHEET PER CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2029","description":"MIROTRACT WOUND MATRIX SHEET PER CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRRAGEN ADVANCED WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2002","description":"MIRRAGEN ADVANCED WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1177.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1177.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRRAGEN ADVANCED WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2002","description":"MIRRAGEN ADVANCED WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1177.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1177.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISC COMP SPL/ACCESS FOR USE WITH TOT AH SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8698","description":"MISC COMP SPL/ACCESS FOR USE WITH TOT AH SYSTEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISC EXT COMP SPL/ACSS FOR ARGUS II RET PROS SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8608","description":"MISC EXT COMP SPL/ACSS FOR ARGUS II RET PROS SYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOCHONDRIAL ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86381","description":"MITOCHONDRIAL ANTIBODY EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN INTRAVESICAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9282","description":"MITOMYCIN INTRAVESICAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":278.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN INTRAVESICAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9282","description":"MITOMYCIN INTRAVESICAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":278.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN OPTHALMIC 0. 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7315","description":"MITOMYCIN OPTHALMIC 0. 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":384.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN OPTHALMIC 0. 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7315","description":"MITOMYCIN OPTHALMIC 0. 2 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":384.13,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.91,"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":"2022","billing_code":"77338","description":"MLC IMRT DESIGN  AND  CONSTRUCTION PER IMRT PLAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLG-COMPLETE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4256","description":"MLG-COMPLETE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLG-COMPLETE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4256","description":"MLG-COMPLETE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81294","description":"MLH1 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81292","description":"MLH1 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":506.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81293","description":"MLH1 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS PROMOTER METHYLATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81288","description":"MLH1 GENE ANALYSIS PROMOTER METHYLATION ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING 1ST 60","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96202","description":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING 1ST 60","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING 1ST 60","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96202","description":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING 1ST 60","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96203","description":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96203","description":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACCESS PED SIZE WC DYNAMIC SEATING FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2295","description":"MNL WC ACCESS PED SIZE WC DYNAMIC SEATING FRAME","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2150.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2150.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":935.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":935.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":372.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":372.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4500.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4500.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1420.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1420.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4500.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4500.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4500.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4500.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1420.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1420.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1420.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1420.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4851.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4851.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":612.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":612.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99157","description":"MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99157","description":"MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS  LT 5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99155","description":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS  LT 5 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS  LT 5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99155","description":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS  LT 5 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99156","description":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99156","description":"MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP EACH ADDL 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99153","description":"MOD SED SAME PHYS/QHP EACH ADDL 15 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP EACH ADDL 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99153","description":"MOD SED SAME PHYS/QHP EACH ADDL 15 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP INITIAL 15 MINS  LT 5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99151","description":"MOD SED SAME PHYS/QHP INITIAL 15 MINS  LT 5 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP INITIAL 15 MINS  LT 5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99151","description":"MOD SED SAME PHYS/QHP INITIAL 15 MINS  LT 5 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99152","description":"MOD SED SAME PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99152","description":"MOD SED SAME PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SEDAT SRVC PROV SAME PHYS PERF GI ENDO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0500","description":"MODERATE SEDAT SRVC PROV SAME PHYS PERF GI ENDO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODERATE SEDAT SRVC PROV SAME PHYS PERF GI ENDO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0500","description":"MODERATE SEDAT SRVC PROV SAME PHYS PERF GI ENDO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOG-IGG1 ANTIBODY CELL-BASED IMFLUOR ASSAY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86362","description":"MOG-IGG1 ANTIBODY CELL-BASED IMFLUOR ASSAY EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOG-IGG1 ANTIBODY FLOW CYTOMETRY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86363","description":"MOG-IGG1 ANTIBODY FLOW CYTOMETRY EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":391.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":391.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOL DX TEST READER NONRX SA  and  SC USE FDA APRVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1035","description":"MOL DX TEST READER NONRX SA  and  SC USE FDA APRVD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECLR PATH PROCEDURE; PHYSICIAN INTEPR REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0452","description":"MOLECLR PATH PROCEDURE; PHYSICIAN INTEPR REPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81400","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 1","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81401","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 2","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81402","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 3","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81403","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81404","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 5","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81405","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 6","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81406","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 7","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 8","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81407","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 8","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":634.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 9","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81408","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 9","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1500.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1500.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7402","description":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7402","description":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":331.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":331.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3432.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3432.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3432.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3432.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17673.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17673.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17673.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17673.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONTHLY SUPPLIES FOR USE OF DEVC CODED AT E0733","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4541","description":"MONTHLY SUPPLIES FOR USE OF DEVC CODED AT E0733","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONTHLY SUPPLIES FOR USE OF DEVC CODED AT E0733","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4541","description":"MONTHLY SUPPLIES FOR USE OF DEVC CODED AT E0733","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.2,"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":null,"billing_code":"G9353","description":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4328","description":"MOST PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4328","description":"MOST PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"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":null,"billing_code":"G8955","description":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 GLY STS ASSMT HBA1C/GMI LEVEL  GT  9.0 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1211","description":"MOST RECENT GLY STS ASSMT HBA1C/GMI LEVEL  GT  9.0 PCT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 GLY STS ASSMT HBA1C/GMI LEVEL  GT  9.0 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1211","description":"MOST RECENT GLY STS ASSMT HBA1C/GMI LEVEL  GT  9.0 PCT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOUTHPIECE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4617","description":"MOUTHPIECE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOUTHPIECE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4617","description":"MOUTHPIECE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2046.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2046.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MPL GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81338","description":"MPL GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MPL GENE ANALYSIS SEQUENCE ANALYSIS EXON 10","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81339","description":"MPL GENE ANALYSIS SEQUENCE ANALYSIS EXON 10","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR GL STS ASMT HBA1C/GMI LVL  GT or equal to  7.0 PCT   an","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1372","description":"MR GL STS ASMT HBA1C/GMI LVL  GT or equal to  7.0 PCT   an","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR GL STS ASMT HBA1C/GMI LVL  GT or equal to  7.0 PCT   an","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1372","description":"MR GL STS ASMT HBA1C/GMI LVL  GT or equal to  7.0 PCT   an","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76016","description":"MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76016","description":"MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT POS and /IMMOBLJ SUPVJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76019","description":"MR SAFETY IMPLANT POS and /IMMOBLJ SUPVJ PHYS/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT POS and /IMMOBLJ SUPVJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76019","description":"MR SAFETY IMPLANT POS and /IMMOBLJ SUPVJ PHYS/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAF 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76014","description":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAF 1ST 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAF 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76014","description":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAF 1ST 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAFF EA ADD 30","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76015","description":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAFF EA ADD 30","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAFF EA ADD 30","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76015","description":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAFF EA ADD 30","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76018","description":"MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76018","description":"MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG and MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76017","description":"MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG and MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG and MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76017","description":"MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG and MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":332.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":332.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":258.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":323.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":258.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":323.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":323.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":211.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":211.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":264.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":330.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":264.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":330.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":299.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":374.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":299.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":374.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":211.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":211.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":266.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":332.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":266.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":332.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":272.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":340.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":272.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":272.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":340.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":269.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":337.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":269.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":337.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRGFUS STEREOTACTIC ABLATION TARGET INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61715","description":"MRGFUS STEREOTACTIC ABLATION TARGET INTRACRANIAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":781.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":918.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRGFUS STEREOTACTIC ABLATION TARGET INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61715","description":"MRGFUS STEREOTACTIC ABLATION TARGET INTRACRANIAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":781.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":781.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":918.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":239.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":299.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":239.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":299.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":247.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":309.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":247.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":309.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":305.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":382.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":305.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":382.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":247.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":309.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":247.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":309.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":306.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":383.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":306.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":383.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":310.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":310.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":270.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":270.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":380.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":380.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":286.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":381.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":286.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":381.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":342.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":488.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":342.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":342.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":488.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":646.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":808.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":646.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":808.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":808.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":415.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":415.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":214.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":307.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":214.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":307.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":303.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":379.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":303.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":379.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":382.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":478.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":382.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":478.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":302.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":302.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.54,"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":null,"billing_code":"3324F","description":"MRI CT SCAN ORDERED REVIEWED/REQUESTED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":246.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":410.18,"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":"2022","billing_code":"77022","description":"MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":246.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":410.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":233.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":291.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":233.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":291.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":259.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":259.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":267.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":334.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":267.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":334.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":267.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":334.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":267.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":334.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":286.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":286.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":190.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":271.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":190.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":271.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":221.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":221.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":267.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":267.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":267.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":221.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":316.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":221.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":316.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":222.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":222.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":287.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":359.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":287.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":359.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":296.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":296.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81297","description":"MSH2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81295","description":"MSH2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":286.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81296","description":"MSH2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":253.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH6 GENE ANALYSIS DUPLICATION/DELETION VARIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81300","description":"MSH6 GENE ANALYSIS DUPLICATION/DELETION VARIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH6 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81298","description":"MSH6 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":481.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH6 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81299","description":"MSH6 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MTHFR GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81291","description":"MTHFR GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":858.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":858.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":858.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8587.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8587.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":612.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6125.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6125.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":612.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6125.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6125.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":109.0406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":109.0406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.3153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.3153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":118.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":118.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":124.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":124.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":109.0406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":109.0406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.3153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.3153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":118.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":118.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":124.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":124.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIFOCAL ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92274","description":"MULTIFOCAL ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIFOCAL ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92274","description":"MULTIFOCAL ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIMODAL PAIN MANAGEMENT WAS USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2148","description":"MULTIMODAL PAIN MANAGEMENT WAS USED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIMODAL PAIN MANAGEMENT WAS USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2148","description":"MULTIMODAL PAIN MANAGEMENT WAS USED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":222.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":222.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MURAMIDASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85549","description":"MURAMIDASE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":652.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":812.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":652.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":812.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":812.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1020.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":770.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1020.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1020.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":770.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":770.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":569.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":670.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":911.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":569.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":670.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":670.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":911.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOQ/FSCQ FLAP HEAD and NECK W/NAMED VASC PEDCL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15733","description":"MUSC MYOQ/FSCQ FLAP HEAD and NECK W/NAMED VASC PEDCL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":709.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":835.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOQ/FSCQ FLAP HEAD and NECK W/NAMED VASC PEDCL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15733","description":"MUSC MYOQ/FSCQ FLAP HEAD and NECK W/NAMED VASC PEDCL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":709.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":709.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":835.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":835.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":863.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":863.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":863.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":863.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":785.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":785.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":785.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE-SPECIFIC KINASE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86366","description":"MUSCLE-SPECIFIC KINASE ANTIBODY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":971.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":971.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9713.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9713.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":971.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":971.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9713.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9713.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLATE MOFETIL FOR SUSPENSION ORAL 100 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7528","description":"MYCOPHENOLATE MOFETIL FOR SUSPENSION ORAL 100 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLATE MOFETIL FOR SUSPENSION ORAL 100 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7528","description":"MYCOPHENOLATE MOFETIL FOR SUSPENSION ORAL 100 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLATE MOFETIL MYHIBBIN ORAL SUSP 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7514","description":"MYCOPHENOLATE MOFETIL MYHIBBIN ORAL SUSP 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYCOPHENOLATE MOFETIL MYHIBBIN ORAL SUSP 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7514","description":"MYCOPHENOLATE MOFETIL MYHIBBIN ORAL SUSP 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYD88 GENE ANALYSIS P.LEU265 (L265P) VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81305","description":"MYD88 GENE ANALYSIS P.LEU265 (L265P) VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":215.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":269.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":215.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":269.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1722.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1722.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1722.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1722.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":235.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":294.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":235.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":294.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":641.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":713.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":641.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":713.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":713.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":516.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":573.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":516.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":573.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":573.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":504.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":560.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":504.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":560.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":560.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"MYOGLOBIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83874","description":"MYOGLOBIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOWN SKIN INCL HARVEST  AND  PREP PROC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4226","description":"MYOWN SKIN INCL HARVEST  AND  PREP PROC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":386.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOWN SKIN INCL HARVEST  AND  PREP PROC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4226","description":"MYOWN SKIN INCL HARVEST  AND  PREP PROC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":386.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYRIAD MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2032","description":"MYRIAD MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYRIAD MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2032","description":"MYRIAD MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Muramidase","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85549","description":"Muramidase","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS EST C FFR AUGMNT SW ALYS CTA I and R PHY/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75580","description":"N-INVAS EST C FFR AUGMNT SW ALYS CTA I and R PHY/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":551.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":584.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":649.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS EST C FFR AUGMNT SW ALYS CTA I and R PHY/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75580","description":"N-INVAS EST C FFR AUGMNT SW ALYS CTA I and R PHY/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":551.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":584.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":649.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":95.1926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":95.1926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":95.7537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":95.7537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":96.7156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":96.7156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":95.1926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":95.1926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":95.7537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":95.7537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":96.7156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":96.7156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2238.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2238.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2356.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2356.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":942.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":942.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1243.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1243.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1308.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1308.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":523.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":523.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":168.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":168.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC DSTRJ CRYOABLATION PST NSL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31243","description":"NASAL/SINUS NDSC DSTRJ CRYOABLATION PST NSL NRV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1746.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1746.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC DSTRJ CRYOABLATION PST NSL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31243","description":"NASAL/SINUS NDSC DSTRJ CRYOABLATION PST NSL NRV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1746.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1746.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC DSTRJ RF ABLATION PST NSL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31242","description":"NASAL/SINUS NDSC DSTRJ RF ABLATION PST NSL NRV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1799.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1799.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC DSTRJ RF ABLATION PST NSL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31242","description":"NASAL/SINUS NDSC DSTRJ RF ABLATION PST NSL NRV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1799.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1799.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":752.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":885.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":752.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":752.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":885.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":885.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":790.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":930.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":930.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":790.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":930.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":930.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":723.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":850.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":723.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":723.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":850.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":661.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":777.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":661.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":777.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":777.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":410.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":482.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":410.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":482.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":410.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":482.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION FRNT and SPHN SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31298","description":"NASAL/SINUS NDSC SURG W/DILATION FRNT and SPHN SINUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":173.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2911.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2911.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION FRNT and SPHN SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31298","description":"NASAL/SINUS NDSC SURG W/DILATION FRNT and SPHN SINUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":173.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2911.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2911.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1819.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1819.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1819.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1819.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1262.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1262.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1262.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1779.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1779.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1779.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1779.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/LIG SPHENOPALATINE ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31241","description":"NASAL/SINUS NDSC SURG W/LIG SPHENOPALATINE ART","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":358.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/LIG SPHENOPALATINE ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31241","description":"NASAL/SINUS NDSC SURG W/LIG SPHENOPALATINE ART","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":358.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":826.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":972.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":972.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":826.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":972.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":972.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":401.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":401.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31259","description":"NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":322.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":379.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31259","description":"NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":322.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":379.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":379.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31257","description":"NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31257","description":"NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/LIG SPHENOPALATINE ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31241","description":"NASAL/SINUS NDSC W/LIG SPHENOPALATINE ARTERY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":358.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":236.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":236.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":326.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":384.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":326.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":384.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":329.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":329.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASOGASTRIC TUBING WITH STYLET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4081","description":"NASOGASTRIC TUBING WITH STYLET","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASOGASTRIC TUBING WITHOUT STYLET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4082","description":"NASOGASTRIC TUBING WITHOUT STYLET","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATALIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4396","description":"NATALIN PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATALIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4396","description":"NATALIN PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"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":null,"billing_code":"G9148","description":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC ABLATION  and  RCNSTJ ATRIA EXTEN W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33266","description":"NDSC ABLATION  and  RCNSTJ ATRIA EXTEN W/O BYPASS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1171.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC ABLATION  and  RCNSTJ ATRIA EXTEN W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33266","description":"NDSC ABLATION  and  RCNSTJ ATRIA EXTEN W/O BYPASS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1171.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1171.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":854.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":854.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":430.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":299.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":299.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20560","description":"NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20560","description":"NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20561","description":"NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20561","description":"NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.2,"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":null,"billing_code":"3351F","description":"NEG DEP SYMP CAT USING STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":617.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6170.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6170.24,"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":null,"billing_code":"3061F","description":"NEGATIVE MICROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.53,"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":"2022","billing_code":"97606","description":"NEGATIVE PRESSURE WOUND THERAPY DME  GT 50 SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOGUARD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4371","description":"NEOGUARD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOGUARD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4371","description":"NEOGUARD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2021","description":"NEOMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2021","description":"NEOMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOPATCH OR THERION 1 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4176","description":"NEOPATCH OR THERION 1 SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOPATCH OR THERION 1 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4176","description":"NEOPATCH OR THERION 1 SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4267","description":"NEOSTIM DL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4267","description":"NEOSTIM DL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4266","description":"NEOSTIM MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4266","description":"NEOSTIM MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM TL, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4265","description":"NEOSTIM TL, PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM TL, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4265","description":"NEOSTIM TL, PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOTHELIUM 4L PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4388","description":"NEOTHELIUM 4L PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOTHELIUM 4L PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4388","description":"NEOTHELIUM 4L PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOTHELIUM 4L PLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4389","description":"NEOTHELIUM 4L PLUS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOTHELIUM 4L PLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4389","description":"NEOTHELIUM 4L PLUS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOTHELIUM FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4387","description":"NEOTHELIUM FT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOTHELIUM FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4387","description":"NEOTHELIUM FT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOX 100 OR CLARIX 100 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4156","description":"NEOX 100 OR CLARIX 100 PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOX 100 OR CLARIX 100 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4156","description":"NEOX 100 OR CLARIX 100 PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOX CORD 1K NEOX CORD RT/CLARIX CORD 1K-SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4148","description":"NEOX CORD 1K NEOX CORD RT/CLARIX CORD 1K-SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOX CORD 1K NEOX CORD RT/CLARIX CORD 1K-SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4148","description":"NEOX CORD 1K NEOX CORD RT/CLARIX CORD 1K-SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOXFLO OR CLARIXFLO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4155","description":"NEOXFLO OR CLARIXFLO 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOXFLO OR CLARIXFLO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4155","description":"NEOXFLO OR CLARIXFLO 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":828.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":828.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":828.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 1-2 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95907","description":"NERVE CONDUCTION STUDIES 1-2 STUDIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 1-2 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95907","description":"NERVE CONDUCTION STUDIES 1-2 STUDIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 11-12 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95912","description":"NERVE CONDUCTION STUDIES 11-12 STUDIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 11-12 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95912","description":"NERVE CONDUCTION STUDIES 11-12 STUDIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 13 OR GT  STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95913","description":"NERVE CONDUCTION STUDIES 13 OR GT  STUDIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":147.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":147.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":149.2018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":149.2018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":151.6067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":151.6067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":207.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":207.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":52.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":52.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":53.4481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":53.4481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":54.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":54.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":84.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":84.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":95.1926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":95.1926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":95.7537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":95.7537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":96.7156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":96.7156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 13 OR GT  STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95913","description":"NERVE CONDUCTION STUDIES 13 OR GT  STUDIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.3475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":147.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":147.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":149.2018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":149.2018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":151.6067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":151.6067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":207.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":207.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":52.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":52.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":53.4481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":53.4481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":54.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":54.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":84.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":84.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":95.1926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":95.1926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":95.7537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":95.7537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":96.7156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":96.7156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 3-4 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95908","description":"NERVE CONDUCTION STUDIES 3-4 STUDIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 3-4 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95908","description":"NERVE CONDUCTION STUDIES 3-4 STUDIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 5-6 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95909","description":"NERVE CONDUCTION STUDIES 5-6 STUDIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 5-6 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95909","description":"NERVE CONDUCTION STUDIES 5-6 STUDIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 7-8 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95910","description":"NERVE CONDUCTION STUDIES 7-8 STUDIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 7-8 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95910","description":"NERVE CONDUCTION STUDIES 7-8 STUDIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 9-10 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95911","description":"NERVE CONDUCTION STUDIES 9-10 STUDIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 9-10 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95911","description":"NERVE CONDUCTION STUDIES 9-10 STUDIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64913","description":"NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64913","description":"NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64912","description":"NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":652.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64912","description":"NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":652.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NETUPITANT 300 MG  AND  PALONOSETRON 0.5 MG ORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8655","description":"NETUPITANT 300 MG  AND  PALONOSETRON 0.5 MG ORAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":380.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":397.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NETUPITANT 300 MG  AND  PALONOSETRON 0.5 MG ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8655","description":"NETUPITANT 300 MG  AND  PALONOSETRON 0.5 MG ORAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":380.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":397.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96121","description":"NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96121","description":"NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1228.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1228.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1228.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1228.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMOD STIM SYS ADJ TO REHAB TX REGIME CTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4593","description":"NEUROMOD STIM SYS ADJ TO REHAB TX REGIME CTRL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMOD STIM SYS ADJ TO REHAB TX REGIME CTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4593","description":"NEUROMOD STIM SYS ADJ TO REHAB TX REGIME CTRL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMODULT STIM SYS ADJT TO REH TX REGIME MP EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4594","description":"NEUROMODULT STIM SYS ADJT TO REH TX REGIME MP EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMODULT STIM SYS ADJT TO REH TX REGIME MP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4594","description":"NEUROMODULT STIM SYS ADJT TO REH TX REGIME MP EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1000.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1000.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":874.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":874.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":874.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":874.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":263.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":266.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":263.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":266.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96132","description":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96132","description":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96133","description":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96133","description":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUTRALIZING ANTIBODY SARS-COV-2 SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86408","description":"NEUTRALIZING ANTIBODY SARS-COV-2 SCREEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUTRALIZING ANTIBODY SARS-COV-2 SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86408","description":"NEUTRALIZING ANTIBODY SARS-COV-2 SCREEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUTRALIZING ANTIBODY SARS-COV-2 TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86409","description":"NEUTRALIZING ANTIBODY SARS-COV-2 TITER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUTRALIZING ANTIBODY SARS-COV-2 TITER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86409","description":"NEUTRALIZING ANTIBODY SARS-COV-2 TITER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 GASTROINTESTINAL PATHOGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87505","description":"NFCT AGENT DNA/RNA GASTROINTESTINAL PATHOGEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.22,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP B VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87912","description":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP B VIRUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACID SARSCOV2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87913","description":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACID SARSCOV2","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT GENOTYPE HEPATITIS B VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87912","description":"NFCT AGENT GENOTYPE HEPATITIS B VIRUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT GENOTYPE ALYS NUCLEIC ACID CMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87910","description":"NFCT AGT GENOTYPE ALYS NUCLEIC ACID CMV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT GENOTYPE NUCLEIC ACID CYTOMEGALOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87910","description":"NFCT AGT GENOTYPE NUCLEIC ACID CYTOMEGALOVIRUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BACTERAL VAGINOSIS RNA VAGINAL-FLUID ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81513","description":"NFCT DS BACTERAL VAGINOSIS RNA VAGINAL-FLUID ALG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT VAGINOSIS and VAGINITIS DNA VAG FLU ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81514","description":"NFCT DS BCT VAGINOSIS and VAGINITIS DNA VAG FLU ALG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0202U","description":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0223U","description":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0202U","description":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0223U","description":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BV and VAGINITIS RTPCR AMP DNA MARKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81515","description":"NFCT DS BV and VAGINITIS RTPCR AMP DNA MARKERS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS CHRNC HCV 6 BIOCHEM ASSAY SRM ALG LVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81596","description":"NFCT DS CHRNC HCV 6 BIOCHEM ASSAY SRM ALG LVR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS DNA and RNA 21 TARGETS SARS-COV-2 AMP PROBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0225U","description":"NFCT DS DNA and RNA 21 TARGETS SARS-COV-2 AMP PROBE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS DNA and RNA 21 TARGETS SARS-COV-2 AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0225U","description":"NFCT DS DNA and RNA 21 TARGETS SARS-COV-2 AMP PROBE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS GU PTHGN ARG DETCJ MULT AMP PRB TQ UR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0372U","description":"NFCT DS GU PTHGN ARG DETCJ MULT AMP PRB TQ UR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS GU PTHGNS DNA 46 TRGTS RT-PCR AMP PRB TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0593U","description":"NFCT DS GU PTHGNS DNA 46 TRGTS RT-PCR AMP PRB TQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":476.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":476.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS TFP VCTRBRNE and ZOONOTIC PTHGN 2VIR 1BCTRUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0595U","description":"NFCT DS TFP VCTRBRNE and ZOONOTIC PTHGN 2VIR 1BCTRUM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":366.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":388.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":457.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":610.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":388.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":457.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":457.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":610.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.513,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54235","description":"NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93573","description":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93573","description":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93569","description":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY UNI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93569","description":"NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY UNI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV PULM ANGRPH MAPCA CHD EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93575","description":"NJX DRG C-CATHJ SLCTV PULM ANGRPH MAPCA CHD EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV PULM ANGRPH MAPCA CHD EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93575","description":"NJX DRG C-CATHJ SLCTV PULM ANGRPH MAPCA CHD EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV PULM VEN ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93574","description":"NJX DRG C-CATHJ SLCTV PULM VEN ANGIOGRAPHY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV PULM VEN ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93574","description":"NJX DRG C-CATHJ SLCTV PULM VEN ANGIOGRAPHY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62321","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62325","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":179.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62321","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62325","description":"NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":179.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62323","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62327","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62323","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62327","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62322","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62322","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36466","description":"NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1252.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1252.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36466","description":"NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1252.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1252.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36465","description":"NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1197.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36465","description":"NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1197.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM EXSTNG ACESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50431","description":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM EXSTNG ACESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM EXSTNG ACESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50431","description":"NJX PX ANTEGRDE NFROSGRM  and /URTRGRM EXSTNG ACESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX CNTRST KNE ARTHG CNTRST ENHNCD CT/MRI KNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27369","description":"NJX PX CNTRST KNE ARTHG CNTRST ENHNCD CT/MRI KNE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX CNTRST KNE ARTHG CNTRST ENHNCD CT/MRI KNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27369","description":"NJX PX CNTRST KNE ARTHG CNTRST ENHNCD CT/MRI KNE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO 2 FOOTPLATES EXCEPT FOR ELEVATING LEGREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0970","description":"NO 2 FOOTPLATES EXCEPT FOR ELEVATING LEGREST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.0,"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":null,"billing_code":"4186F","description":"NO CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HISTORY SP RESULTS WITH CONFIRMED AF OBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1213","description":"NO HISTORY SP RESULTS WITH CONFIRMED AF OBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HISTORY SP RESULTS WITH CONFIRMED AF OBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1213","description":"NO HISTORY SP RESULTS WITH CONFIRMED AF OBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SP RSLTS CFM AFO DOC A/O NO SP PERF RSLTS DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1216","description":"NO SP RSLTS CFM AFO DOC A/O NO SP PERF RSLTS DOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SP RSLTS CFM AFO DOC A/O NO SP PERF RSLTS DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1216","description":"NO SP RSLTS CFM AFO DOC A/O NO SP PERF RSLTS DOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 FOR ENTERAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B9998","description":"NOC FOR ENTERAL SUPPLIES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-EMERGENCY TRANSPORTATION; ENCOUNTER/TRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T2003","description":"NON-EMERGENCY TRANSPORTATION; ENCOUNTER/TRIP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-EMERGENCY TRANSPORTATION; ENCOUNTER/TRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2003","description":"NON-EMERGENCY TRANSPORTATION; ENCOUNTER/TRIP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":584.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":584.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-MEDICAL FAM PLANNING EDUCATION PER SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H1010","description":"NON-MEDICAL FAM PLANNING EDUCATION PER SESSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-MEDICAL FAM PLANNING EDUCATION PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1010","description":"NON-MEDICAL FAM PLANNING EDUCATION PER SESSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONADJUNCTIVE NONIMPLANTED CGM/RECEIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2103","description":"NONADJUNCTIVE NONIMPLANTED CGM/RECEIVER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCORING NEEDLE OR STYLET W/WO CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4212","description":"NONCORING NEEDLE OR STYLET W/WO CATHETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCORING NEEDLE OR STYLET W/WO CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4212","description":"NONCORING NEEDLE OR STYLET W/WO CATHETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERGENCY TRANSPORTATION: WHEELCHAIR VAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0130","description":"NONEMERGENCY TRANSPORTATION: WHEELCHAIR VAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERGENCY TRANSPORTATION: WHEELCHAIR VAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0130","description":"NONEMERGENCY TRANSPORTATION: WHEELCHAIR VAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE DETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94761","description":"NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE DETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE DETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94761","description":"NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE DETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE VAGUS NERVE STIMULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0735","description":"NONINVASIVE VAGUS NERVE STIMULATOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":410.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98967","description":"NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98968","description":"NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98966","description":"NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEU NONSEQ PERISTALTIC WAVE CMPRSSN PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0683","description":"NONPNEU NONSEQ PERISTALTIC WAVE CMPRSSN PUMP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":639.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC COMPRES CONTROL W/SEQ CALIBR GRAD P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0680","description":"NONPNEUMATIC COMPRES CONTROL W/SEQ CALIBR GRAD P","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5046.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5046.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC COMPRESS CONTROL WO CALIBRAT GRAD P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0681","description":"NONPNEUMATIC COMPRESS CONTROL WO CALIBRAT GRAD P","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":850.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":850.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMP GARMENT TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0677","description":"NONPNEUMATIC SEQUENTIAL COMP GARMENT TRUNK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":520.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMP GARMENT TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0677","description":"NONPNEUMATIC SEQUENTIAL COMP GARMENT TRUNK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":520.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0682","description":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL ARM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":410.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0678","description":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL LEG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":318.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT HALF LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0679","description":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT HALF LEG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":532.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5321.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5321.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":532.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5321.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5321.02,"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":null,"billing_code":"3250F","description":"NONPRIM ANATOMIC LOCATION OF SPECIMEN SITE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":464.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4644.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4644.81,"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":"2022","billing_code":"E0371","description":"NONPWR ADV PRSS RDUC OVRLAY MATTRSS STD LEN AND WDTH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":464.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4644.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4644.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSHEET FORM SKIN SUB FDA-CLEARED AS DEVC NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4100","description":"NONSHEET FORM SKIN SUB FDA-CLEARED AS DEVC NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSHEET FORM SKIN SUB FDA-CLEARED AS DEVC NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4100","description":"NONSHEET FORM SKIN SUB FDA-CLEARED AS DEVC NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","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":null,"billing_code":"4185F","description":"NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOONAN SPECTRUM DISORDERS GEN SEQ ANALYS 12 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81442","description":"NOONAN SPECTRUM DISORDERS GEN SEQ ANALYS 12 GEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1607.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1607.7,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PRESSURE READING DOC F/U NOT REQD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1294","description":"NORMAL BLOOD PRESSURE READING DOC F/U NOT REQD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PRESSURE READING DOC F/U NOT REQD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1294","description":"NORMAL BLOOD PRESSURE READING DOC F/U NOT REQD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOT OTHERWISE CLASSIFIED ANTINEOPLASTIC DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9999","description":"NOT OTHERWISE CLASSIFIED ANTINEOPLASTIC DRUG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOT OTHERWISE CLASSIFIED ANTINEOPLASTIC DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9999","description":"NOT OTHERWISE CLASSIFIED ANTINEOPLASTIC DRUG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOTHING BY MOUTH ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6020F","description":"NOTHING BY MOUTH ORDERED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVACHOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4194","description":"NOVACHOR PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVACHOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4194","description":"NOVACHOR PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVAFIX DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4254","description":"NOVAFIX DL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVAFIX DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4254","description":"NOVAFIX DL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVAFIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4208","description":"NOVAFIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVAFIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4208","description":"NOVAFIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVASHIELD OR NOVOGEN WOUND MATRIX, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2045","description":"NOVASHIELD OR NOVOGEN WOUND MATRIX, PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVASHIELD OR NOVOGEN WOUND MATRIX, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2045","description":"NOVASHIELD OR NOVOGEN WOUND MATRIX, PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVOSORB SYNPATH DERMAL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2006","description":"NOVOSORB SYNPATH DERMAL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVOSORB SYNPATH DERMAL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2006","description":"NOVOSORB SYNPATH DERMAL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NPM1 NUCLEOPHOSMIN GENE ANAL EXON 12 VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81310","description":"NPM1 NUCLEOPHOSMIN GENE ANAL EXON 12 VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NRAS GENE ANALYSIS VARIANTS IN EXON 2 AND 3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81311","description":"NRAS GENE ANALYSIS VARIANTS IN EXON 2 AND 3","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":221.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":269.58,"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":"2022","billing_code":"31267","description":"NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":269.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":233.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":233.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRK TRANSLOCATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81194","description":"NTRK TRANSLOCATION ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":388.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRK1 TRANSLOCATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81191","description":"NTRK1 TRANSLOCATION ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRK2 TRANSLOCATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81192","description":"NTRK2 TRANSLOCATION ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRK3 TRANSLOCATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81193","description":"NTRK3 TRANSLOCATION ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 11-20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99447","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 11-20 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 11-20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99447","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 11-20 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 21-30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99448","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 21-30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 21-30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99448","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 21-30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 31 OR GT  MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99449","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 31 OR GT  MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 31 OR GT  MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99449","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 31 OR GT  MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5 OR GT  MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99451","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5 OR GT  MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5 OR GT  MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99451","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5 OR GT  MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99446","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5-10 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99446","description":"NTRPROF PHONE/NTRNET/EHR ASSMT and MGMT 5-10 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99452","description":"NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99452","description":"NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1324.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1324.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":337.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":397.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":926.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1324.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1324.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":337.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":397.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":926.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":926.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUCLEAR MITOCHONDRIAL 100 GENE GENOMIC SEQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81440","description":"NUCLEAR MITOCHONDRIAL 100 GENE GENOMIC SEQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2493.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2493.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUDT15 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81306","description":"NUDT15 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUDYN DL OR NUDYN DL MESH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4285","description":"NUDYN DL OR NUDYN DL MESH PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUDYN DL OR NUDYN DL MESH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4285","description":"NUDYN DL OR NUDYN DL MESH PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUDYN SL OR NUDYN SLW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4286","description":"NUDYN SL OR NUDYN SLW PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUDYN SL OR NUDYN SLW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4286","description":"NUDYN SL OR NUDYN SLW PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":884.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":884.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":817.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":961.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":817.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":961.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1135.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1135.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1135.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING CARE THE HOME REGISTERED NURSE PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1030","description":"NURSING CARE THE HOME REGISTERED NURSE PER DIEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":246.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING CARE THE HOME REGISTERED NURSE PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1030","description":"NURSING CARE THE HOME REGISTERED NURSE PER DIEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":246.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUSHIELD PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4160","description":"NUSHIELD PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUSHIELD PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4160","description":"NUSHIELD PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Nursing Visit","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Z8001","description":"Nursing Visit","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["31","32","33"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["31","32","33"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["31","32","33"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["31","32","33"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["31","32","33"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["31","32","33"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["31","32","33"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["31","32","33"]}]}]},{"negotiation_arrangement":"ffs","name":"OASIS BURN MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4103","description":"OASIS BURN MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS BURN MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4103","description":"OASIS BURN MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4124","description":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4124","description":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1319.8299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1319.8299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1416.3652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1416.3652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1450.2136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1450.2136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1575.5873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1575.5873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1319.8299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1319.8299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1416.3652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1416.3652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1450.2136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1450.2136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1575.5873,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1575.5873,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1199.4464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1199.4464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1281.7128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1281.7128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1311.3527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1311.3527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1442.5181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1442.5181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1199.4464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1199.4464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1281.7128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1281.7128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1311.3527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1311.3527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1442.5181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1442.5181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB PRETERM BIRTH IBP4 SHBG QUAN MEAS MAT SRM PRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0247U","description":"OB PRETERM BIRTH IBP4 SHBG QUAN MEAS MAT SRM PRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":562.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB SGNIPT CFDNA SEQ ALYS 1 Plus  TRGT ID PTHGNC VRNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0489U","description":"OB SGNIPT CFDNA SEQ ALYS 1 Plus  TRGT ID PTHGNC VRNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":865.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBECABTAGENE AUTOLEUCEL 10 UP TO 400 MIL CD19","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2058","description":"OBECABTAGENE AUTOLEUCEL 10 UP TO 400 MIL CD19","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBECABTAGENE AUTOLEUCEL 10 UP TO 400 MIL CD19","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2058","description":"OBECABTAGENE AUTOLEUCEL 10 UP TO 400 MIL CD19","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1468.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1468.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1468.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1468.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1468.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1468.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"OBSTETRIC PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80055","description":"OBSTETRIC PANEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSTETRIC PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80081","description":"OBSTETRIC PANEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSTETRIC PANEL INCLUDES HIV TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80081","description":"OBSTETRIC PANEL INCLUDES HIV TESTING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUDER LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2770","description":"OCCLUDER LENS PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUDER LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2770","description":"OCCLUDER LENS PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":636.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99242","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99243","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99244","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99245","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.8,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.22,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.36,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.8,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.8,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.11,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.01,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99245","description":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99245","description":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99243","description":"OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99243","description":"OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99244","description":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99244","description":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99242","description":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99242","description":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.13,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.01,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.01,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.8,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.8,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.11,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.11,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.8,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.8,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.22,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.22,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.36,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.36,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.8,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":424.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":424.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BREAST MRNA GENE XPRSN PRFL HYBRD 58 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81520","description":"ONC BREAST MRNA GENE XPRSN PRFL HYBRD 58 GENES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1882.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1882.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BREAST MRNA MICRORA GENE XPRSN PRFL 70 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81521","description":"ONC BREAST MRNA MICRORA GENE XPRSN PRFL 70 GENES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2904.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2904.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BRST MRNA NEXT GNRJ SEQ GEN XPRSN 70 CNT and 31","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81523","description":"ONC BRST MRNA NEXT GNRJ SEQ GEN XPRSN 70 CNT and 31","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2904.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2904.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT SCR QRTSA MTHYL DNA MRK W/STOOL ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0464U","description":"ONC CLRCT SCR QRTSA MTHYL DNA MRK W/STOOL ALG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":443.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":443.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT SCR QUAN RT TRGT  and  SGL AMP 8 RNA MRK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0421U","description":"ONC CLRCT SCR QUAN RT TRGT  and  SGL AMP 8 RNA MRK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":381.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CUTAN MLNMA MRNA GEN XPRS PRFL 23 GENES ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0090U","description":"ONC CUTAN MLNMA MRNA GEN XPRS PRFL 23 GENES ALG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1462.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1462.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CUTAN MLNMA MRNA GENE XPRS PRFL 31 GENES ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81529","description":"ONC CUTAN MLNMA MRNA GENE XPRS PRFL 31 GENES ALG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5394.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5394.75,"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":null,"billing_code":"G9113","description":"ONC DS STATUS OVARIAN CA ST IA-B NO PROGRESSN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NEOPLASIA XOME and TRNS SEQ ALYS DNA and RNA TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0329U","description":"ONC NEOPLASIA XOME and TRNS SEQ ALYS DNA and RNA TUMOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2578.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2578.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PAN CANCER ANALYSIS MRD FROM PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0340U","description":"ONC PAN CANCER ANALYSIS MRD FROM PLASMA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2940.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2940.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PAN-TUMOR DNA and RNA NEXT-GENERATION SEQUENCING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0211U","description":"ONC PAN-TUMOR DNA and RNA NEXT-GENERATION SEQUENCING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6341.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6341.25,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PRST8 MRNA GEN XPRS PRFL 17 GEN ALG RSK SCOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0047U","description":"ONC PRST8 MRNA GEN XPRS PRFL 17 GEN ALG RSK SCOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2904.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2904.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 MRNA GENE XPRSN PRFL RT-PCR 46 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81541","description":"ONC PRST8 MRNA GENE XPRSN PRFL RT-PCR 46 GENES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2904.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2904.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 MRNA MICRORA GENE XPRSN PRFL 22 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81542","description":"ONC PRST8 MRNA MICRORA GENE XPRSN PRFL 22 GENES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2904.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2904.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 PRMTR METHYLATION PRFL R-T PCR 3 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81551","description":"ONC PRST8 PRMTR METHYLATION PRFL R-T PCR 3 GENES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1522.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1522.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SLD TUM SOMATIC MUT ALYS BRCA1 BRCA2 ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0172U","description":"ONC SLD TUM SOMATIC MUT ALYS BRCA1 BRCA2 ALG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2272.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2272.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOL TUM CFCDNA TGSAP 84GEN INTERROG SEQ VRNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0487U","description":"ONC SOL TUM CFCDNA TGSAP 84GEN INTERROG SEQ VRNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2189.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2189.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOLID ORGN DNA COMPRE GENOMIC PRFLG 257 GENE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0244U","description":"ONC SOLID ORGN DNA COMPRE GENOMIC PRFLG 257 GENE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2625.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2625.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SOLID TUMOR NGS DNA FFPE TISS BLD/SLV 648GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0473U","description":"ONC SOLID TUMOR NGS DNA FFPE TISS BLD/SLV 648GEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3375.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3375.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC THYR MRNA 10,196 GENES FINE NDL ASPIRATE ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81546","description":"ONC THYR MRNA 10,196 GENES FINE NDL ASPIRATE ALG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2700.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2700.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC UVEAL MLNMA MRNA GENE XPRSN PRFL 15 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81552","description":"ONC UVEAL MLNMA MRNA GENE XPRSN PRFL 15 GENES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5832.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5832.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCO (OVARIAN) BIOCHEMICAL ASSAY FIVE PROTEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81503","description":"ONCO (OVARIAN) BIOCHEMICAL ASSAY FIVE PROTEINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":672.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY BREAST MRNA GENE EXPRESSION 11 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81518","description":"ONCOLOGY BREAST MRNA GENE EXPRESSION 11 GENES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2904.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2904.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY BREAST MRNA GENE EXPRESSION 21 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81519","description":"ONCOLOGY BREAST MRNA GENE EXPRESSION 21 GENES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2904.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2904.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY BREAST MRNA GENE XPRSN PRFL 12 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81522","description":"ONCOLOGY BREAST MRNA GENE XPRSN PRFL 12 GENES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2904.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2904.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY COLORECTAL SCREENING QUAN 10 DNA MARKRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81528","description":"ONCOLOGY COLORECTAL SCREENING QUAN 10 DNA MARKRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":381.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY PROSTATE BIOCHEMICAL ASSAY 4 PROTEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81539","description":"ONCOLOGY PROSTATE BIOCHEMICAL ASSAY 4 PROTEINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":570.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGNG CARE NOT POSS PATIENT SELF-DISCHARGED ERLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1148","description":"ONGNG CARE NOT POSS PATIENT SELF-DISCHARGED ERLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGNG CARE NOT POSS PATIENT SELF-DISCHARGED ERLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1148","description":"ONGNG CARE NOT POSS PATIENT SELF-DISCHARGED ERLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGO CAR NO IND SLF-D/C ERLY  and  SEEN ONLY 1-2 VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1130","description":"ONGO CAR NO IND SLF-D/C ERLY  and  SEEN ONLY 1-2 VST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NO INDIC PT SLF-D/C ERLY and 1-2 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1110","description":"ONGOING CARE NO INDIC PT SLF-D/C ERLY and 1-2 VISIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT IND PT SLF-D/C EARLY  and  1-2 VSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1120","description":"ONGOING CARE NOT IND PT SLF-D/C EARLY  and  1-2 VSTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIB BECAUS PT SELF-D/C EARLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1110","description":"ONGOING CARE NOT POSSIB BECAUS PT SELF-D/C EARLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIB BECAUS PT SELF-D/C EARLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1110","description":"ONGOING CARE NOT POSSIB BECAUS PT SELF-D/C EARLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIBLE BC PT SELF DISCH EARLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1130","description":"ONGOING CARE NOT POSSIBLE BC PT SELF DISCH EARLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIBLE BC PT SELF DISCH EARLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1130","description":"ONGOING CARE NOT POSSIBLE BC PT SELF DISCH EARLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIBLE PT SLF DISCHARGE EARLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1120","description":"ONGOING CARE NOT POSSIBLE PT SLF DISCHARGE EARLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIBLE PT SLF DISCHARGE EARLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1120","description":"ONGOING CARE NOT POSSIBLE PT SLF DISCHARGE EARLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 11-20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99422","description":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 11-20 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 11-20 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99422","description":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 11-20 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 21 Plus  MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99423","description":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 21 Plus  MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 21 Plus  MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99423","description":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 21 Plus  MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 5-10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99421","description":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 5-10 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 5-10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99421","description":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 5-10 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"ONSITE AC C TX NSG FAC RES COPD/AS BILL SID-BNEF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9681","description":"ONSITE AC C TX NSG FAC RES COPD/AS BILL SID-BNEF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONSITE AC C TX NSG FAC RES COPD/AS BILL SID-BNEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9681","description":"ONSITE AC C TX NSG FAC RES COPD/AS BILL SID-BNEF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONSITE AC C TX NSG FAC RES UTI  BILL SID-BENEF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9684","description":"ONSITE AC C TX NSG FAC RES UTI  BILL SID-BENEF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONSITE AC C TX NSG FAC RES UTI  BILL SID-BENEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9684","description":"ONSITE AC C TX NSG FAC RES UTI  BILL SID-BENEF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONSITE AC C TX NSG FAC RES W/CHF BILLD SID-BENEF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9680","description":"ONSITE AC C TX NSG FAC RES W/CHF BILLD SID-BENEF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONSITE AC C TX NSG FAC RES W/CHF BILLD SID-BENEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9680","description":"ONSITE AC C TX NSG FAC RES W/CHF BILLD SID-BENEF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONSITE AC C TX NSG FAC RES W/PNE BILLD SID-BENEF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9679","description":"ONSITE AC C TX NSG FAC RES W/PNE BILLD SID-BENEF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONSITE AC C TX NSG FAC RES W/PNE BILLD SID-BENEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9679","description":"ONSITE AC C TX NSG FAC RES W/PNE BILLD SID-BENEF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONSITE AC TX NSG FAC RES W/SKN INF BILL SID-BNEF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9682","description":"ONSITE AC TX NSG FAC RES W/SKN INF BILL SID-BNEF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONSITE AC TX NSG FAC RES W/SKN INF BILL SID-BNEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9682","description":"ONSITE AC TX NSG FAC RES W/SKN INF BILL SID-BNEF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":388.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":388.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":871.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":871.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":871.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":871.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN BIOPSY/EXCISION INGUINOFEMORAL NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38531","description":"OPEN BIOPSY/EXCISION INGUINOFEMORAL NODES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":299.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":352.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN BIOPSY/EXCISION INGUINOFEMORAL NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38531","description":"OPEN BIOPSY/EXCISION INGUINOFEMORAL NODES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":299.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":352.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1433.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1433.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1433.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1433.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 10.1-20 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49188","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 10.1-20 CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1508.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1508.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 10.1-20 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49188","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 10.1-20 CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1508.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1508.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 20.1-30 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49189","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 20.1-30 CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1756.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1756.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 20.1-30 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49189","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 20.1-30 CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1756.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1756.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5 CM OR LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49186","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5 CM OR LESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":986.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5 CM OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49186","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5 CM OR LESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":986.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5.1-10 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49187","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5.1-10 CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1263.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1263.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5.1-10 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49187","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 5.1-10 CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1263.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1263.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CYST  GT 30 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49190","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CYST  GT 30 CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2166.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2166.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CYST  GT 30 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49190","description":"OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CYST  GT 30 CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2166.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2166.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLTJ HPGLSL NRV NSTIM RA PG and RESPIR SENSOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64582","description":"OPEN IMPLTJ HPGLSL NRV NSTIM RA PG and RESPIR SENSOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":574.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":676.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLTJ HPGLSL NRV NSTIM RA PG and RESPIR SENSOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64582","description":"OPEN IMPLTJ HPGLSL NRV NSTIM RA PG and RESPIR SENSOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":574.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":676.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":347.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":409.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":643.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":643.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":643.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":726.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":726.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":595.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":595.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":595.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":576.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":576.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":278.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":278.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":276.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":276.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":496.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":496.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":524.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":524.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":860.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":860.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":860.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":780.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":780.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":865.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":865.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":865.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":874.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":874.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":874.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":874.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1232.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1232.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1232.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1232.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":435.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":435.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":435.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":666.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":666.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":666.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":394.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":394.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":603.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":603.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":603.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":459.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":459.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":366.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":366.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":321.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":378.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":321.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":378.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":378.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1050.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1050.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":611.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1050.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1050.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":611.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":466.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":548.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":984.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":466.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":548.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":984.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":984.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":288.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":339.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":288.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":339.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":447.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":525.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":447.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":525.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":306.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":360.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":306.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":360.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":495.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":495.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":384.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":452.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":384.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":452.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":505.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":505.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":505.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":528.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":528.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":528.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":528.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":528.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":569.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":569.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21811","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":463.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21811","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":463.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21812","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":536.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":551.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21812","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":536.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":551.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7 Plus  RIBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21813","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7 Plus  RIBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":733.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":744.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7 Plus  RIBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21813","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7 Plus  RIBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":733.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":733.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":744.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":423.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":423.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37239","description":"OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.4815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1467.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1467.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37239","description":"OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.4815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.4815,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1467.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1467.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.5065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":255.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2952.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2952.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.5065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.5065,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":255.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2952.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2952.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34715","description":"OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":247.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34715","description":"OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":247.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34716","description":"OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":306.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34716","description":"OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":306.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34714","description":"OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34714","description":"OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":397.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":397.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":340.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":340.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1393.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1393.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1393.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1505.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1505.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1505.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1505.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1505.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":345.8396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":345.8396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":361.7919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":361.7919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":368.8862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":368.8862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":383.4156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":383.4156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":399.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":399.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":407.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":407.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":434.2785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":434.2785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":484.4801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":484.4801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":489.9511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":489.9511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":513.7392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":513.7392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":524.1403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":524.1403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":615.3448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":615.3448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":345.8396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":345.8396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":361.7919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":361.7919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":368.8862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":368.8862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":383.4156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":383.4156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":399.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":399.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":407.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":407.2238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":434.2785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":434.2785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":484.4801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":484.4801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":489.9511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":489.9511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":513.7392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":513.7392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":524.1403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":524.1403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":615.3448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":615.3448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":239.3041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":239.3041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":247.7011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":247.7011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":251.9697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":251.9697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":288.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":288.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":303.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":303.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":303.8947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":303.8947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":310.5081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":310.5081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":362.1326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":362.1326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":363.3751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":363.3751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.6079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.6079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":387.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":387.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":462.5357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":462.5357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":239.3041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":239.3041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":247.7011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":247.7011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":251.9697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":251.9697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":288.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":288.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":303.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":303.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":303.8947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":303.8947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":310.5081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":310.5081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":362.1326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":362.1326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":363.3751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":363.3751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.6079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.6079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":387.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":387.1832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":462.5357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":462.5357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":144.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":144.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":151.9474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":151.9474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":155.2541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":155.2541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":181.0663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":181.0663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":454.8802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":454.8802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":478.1072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":478.1072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":487.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":487.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":530.0322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":530.0322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":553.8203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":553.8203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":558.8305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":558.8305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":564.2214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":564.2214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":656.6083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":656.6083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":659.2336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":659.2336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":687.9517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":687.9517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":701.1784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":701.1784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":812.0427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":812.0427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":144.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":144.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":151.9474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":151.9474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":155.2541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":155.2541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":181.0663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":181.0663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":454.8802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":454.8802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":478.1072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":478.1072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":487.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":487.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":530.0322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":530.0322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":553.8203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":553.8203,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":558.8305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":558.8305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":564.2214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":564.2214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":656.6083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":656.6083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":659.2336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":659.2336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":687.9517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":687.9517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":701.1784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":701.1784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":812.0427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":812.0427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1137.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1137.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1137.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1137.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPSCPY EXTND OPTIC NRV/MACULA DRAWING I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92202","description":"OPSCPY EXTND OPTIC NRV/MACULA DRAWING I and R UNI/BI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPSCPY EXTND OPTIC NRV/MACULA DRAWING I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92202","description":"OPSCPY EXTND OPTIC NRV/MACULA DRAWING I and R UNI/BI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPSCPY EXTND RTA DRAWING  and  SCL DEPRSN I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92201","description":"OPSCPY EXTND RTA DRAWING  and  SCL DEPRSN I and R UNI/BI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPSCPY EXTND RTA DRAWING  and  SCL DEPRSN I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92201","description":"OPSCPY EXTND RTA DRAWING  and  SCL DEPRSN I and R UNI/BI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.68,"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":null,"billing_code":"2027F","description":"OPTIC NERVE HEAD EVALUATION PERFORMED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTICAL ENDOMICROSCOPIC IMAGE INTERP  AND  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88375","description":"OPTICAL ENDOMICROSCOPIC IMAGE INTERP  AND  REPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTOKINETIC NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92534","description":"OPTOKINETIC NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTOKINETIC NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92534","description":"OPTOKINETIC NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":656.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":772.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":656.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":656.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":772.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":772.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":876.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":876.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1227.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1227.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":605.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":605.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":605.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":605.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":413.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":413.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":413.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":491.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":578.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":491.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":578.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":578.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":336.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":418.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":336.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":418.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":660.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":660.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":780.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":780.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":780.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":488.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":575.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":488.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":575.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":611.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":611.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":653.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":653.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":653.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":803.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":944.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":944.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":803.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":944.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":944.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.84,"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":null,"billing_code":"4073F","description":"ORAL ANTIPLATELET THERAPY PRESCRBED AT DISCHARGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.55,"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":"2022","billing_code":"A7028","description":"ORAL CUSHION COMB ORAL/NASAL MASK REPL ONLY EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL DEV/APPL RED U AW COL WO F MCH HNG CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1027","description":"ORAL DEV/APPL RED U AW COL WO F MCH HNG CSTM FAB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":600.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL DEVICE/APPL NM ELECT STIM TONGUE MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0491","description":"ORAL DEVICE/APPL NM ELECT STIM TONGUE MUSCLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL DVC NM ELC STIM TONGUE MUSC PWR S and C ELC 90D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0493","description":"ORAL DVC NM ELC STIM TONGUE MUSC PWR S and C ELC 90D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL LENACAPAVIR 300 MG RX ONLY FOR USE HIV PREP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0752","description":"ORAL LENACAPAVIR 300 MG RX ONLY FOR USE HIV PREP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":621.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":623.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL LENACAPAVIR 300 MG RX ONLY FOR USE HIV PREP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0752","description":"ORAL LENACAPAVIR 300 MG RX ONLY FOR USE HIV PREP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":621.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":623.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":623.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9954","description":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9954","description":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1276.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1276.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3032.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3032.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3191.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3191.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1006.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1006.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1188.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1188.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1188.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1188.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":489.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":575.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":489.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":575.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":575.82,"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":null,"billing_code":"G9611","description":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4276","description":"ORION PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4276","description":"ORION PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1250.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPANTOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70355","description":"ORTHOPANTOGRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPANTOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70355","description":"ORTHOPANTOGRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED FOOTWEAR MENS SHOE HITOP DEPTH INLAY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3222","description":"ORTHOPED FOOTWEAR MENS SHOE HITOP DEPTH INLAY EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED FTWEAR LADIES SHOE HITOP DEPTH INLAY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3217","description":"ORTHOPED FTWEAR LADIES SHOE HITOP DEPTH INLAY EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR CHILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3206","description":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR CHILD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR INFNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3204","description":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR INFNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR CHILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3202","description":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR CHILD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR INFNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3201","description":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR INFNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR ADDITIONAL CHARGE SPLIT SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3257","description":"ORTHOPEDIC FOOTWEAR ADDITIONAL CHARGE SPLIT SIZE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR CUSTOM SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3230","description":"ORTHOPEDIC FOOTWEAR CUSTOM SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR LADIES SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3216","description":"ORTHOPEDIC FOOTWEAR LADIES SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR LADIES SHOE OXFORD EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3215","description":"ORTHOPEDIC FOOTWEAR LADIES SHOE OXFORD EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR MENS SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3221","description":"ORTHOPEDIC FOOTWEAR MENS SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR MENS SHOE OXFORD EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3219","description":"ORTHOPEDIC FOOTWEAR MENS SHOE OXFORD EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE HIGHTOP W/SUPINATOR/PRONATOR JR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3207","description":"ORTHOPEDIC SHOE HIGHTOP W/SUPINATOR/PRONATOR JR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE OXFORD W/SUPINATOR/PRONATOR JR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3203","description":"ORTHOPEDIC SHOE OXFORD W/SUPINATOR/PRONATOR JR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPTIC TRAINING UNDER SUPERVISION OF PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92066","description":"ORTHOPTIC TRAINING UNDER SUPERVISION OF PHYS/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPTIC TRAINING UNDER SUPERVISION OF PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92066","description":"ORTHOPTIC TRAINING UNDER SUPERVISION OF PHYS/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS/PROSTH MGMT  and /TRAING SBSQ ENCTR 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97763","description":"ORTHOTICS/PROSTH MGMT  and /TRAING SBSQ ENCTR 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS/PROSTH MGMT  and /TRAING SBSQ ENCTR 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97763","description":"ORTHOTICS/PROSTH MGMT  and /TRAING SBSQ ENCTR 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":289.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":214.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":336.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":214.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":336.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":392.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":392.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF  and  BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20932","description":"OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF  and  BONE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":492.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":579.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF  and  BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20932","description":"OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF  and  BONE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":492.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":579.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":500.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":589.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":863.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":863.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":500.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":589.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":589.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":863.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":863.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":316.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":421.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":316.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":421.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT FEMUR UNI INSJ XTRNL CTRLD IMED LNGTH DEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27458","description":"OSTEOT FEMUR UNI INSJ XTRNL CTRLD IMED LNGTH DEV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1339.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1339.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT FEMUR UNI INSJ XTRNL CTRLD IMED LNGTH DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27458","description":"OSTEOT FEMUR UNI INSJ XTRNL CTRLD IMED LNGTH DEV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1339.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1339.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":296.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":296.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":585.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":585.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT TIBIA UNI INSJ XTRNL CTRLD IMED LNGTH DEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27713","description":"OSTEOT TIBIA UNI INSJ XTRNL CTRLD IMED LNGTH DEV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1359.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1359.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT TIBIA UNI INSJ XTRNL CTRLD IMED LNGTH DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27713","description":"OSTEOT TIBIA UNI INSJ XTRNL CTRLD IMED LNGTH DEV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1359.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1359.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":491.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":491.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":718.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":718.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":718.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":447.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":526.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":447.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":526.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":807.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":807.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":807.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":805.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":805.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":690.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":690.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":514.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":514.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":514.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":380.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":380.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1472.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1472.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1472.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1472.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1492.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1492.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1492.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1492.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1093.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1093.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1093.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1093.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":997.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":997.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":997.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1043.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1043.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1081.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1081.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1081.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1081.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1081.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1081.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1965.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1965.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1750.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1750.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1856.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1856.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1101.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1101.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1146.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1146.93,"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":null,"billing_code":"9007F","description":"OTHER CAROTID STENT IPSIL TIA/STRK 120 DAYS OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1326.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1326.84,"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":"2022","billing_code":"61345","description":"OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1326.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1326.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":742.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":742.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":742.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":742.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1402.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1402.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1402.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1402.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVERLAY SL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4352","description":"OVERLAY SL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVERLAY SL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4352","description":"OVERLAY SL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVERSIZE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2780","description":"OVERSIZE LENS PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVERSIZE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2780","description":"OVERSIZE LENS PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0445","description":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2250.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4606","description":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4606","description":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 TENT EXCLUDING CROUP OR PEDIATRIC TENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0455","description":"OXYGEN TENT EXCLUDING CROUP OR PEDIATRIC TENTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1073.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1073.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":833.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Occupational Therapy Visit","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Z8004","description":"Occupational Therapy Visit","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"P/O F/U VISIT E/M SERVICES ADDRESSING SURG PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0559","description":"P/O F/U VISIT E/M SERVICES ADDRESSING SURG PROC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"P/O F/U VISIT E/M SERVICES ADDRESSING SURG PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0559","description":"P/O F/U VISIT E/M SERVICES ADDRESSING SURG PROC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.76,"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":null,"billing_code":"G9786","description":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W/I 7 D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PABPN1 GENE ANALYSIS EVAL DETC ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81312","description":"PABPN1 GENE ANALYSIS EVAL DETC ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":496.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.25,"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":null,"billing_code":"1126F","description":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":542.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":542.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":721.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":721.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":721.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPHARYNGOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42145","description":"PALATOPHARYNGOPLASTY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":411.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":483.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPHARYNGOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42145","description":"PALATOPHARYNGOPLASTY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":411.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":483.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":471.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":471.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":359.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":359.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":539.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":539.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":539.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALB2 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81307","description":"PALB2 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":507.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALB2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81308","description":"PALB2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN DUAL LAYER MEMBRANE PER SQ CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4354","description":"PALINGEN DUAL LAYER MEMBRANE PER SQ CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN DUAL LAYER MEMBRANE PER SQ CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4354","description":"PALINGEN DUAL LAYER MEMBRANE PER SQ CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN OR PALINGEN XPLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4173","description":"PALINGEN OR PALINGEN XPLUS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN OR PALINGEN XPLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4173","description":"PALINGEN OR PALINGEN XPLUS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4174","description":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":291.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4174","description":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":291.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALISADE DM MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4350","description":"PALISADE DM MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALISADE DM MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4350","description":"PALISADE DM MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE CARE SVCS PRVD PT ANY TM DUR MSMT PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1309","description":"PALLIATIVE CARE SVCS PRVD PT ANY TM DUR MSMT PRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE CARE SVCS PRVD PT ANY TM DUR MSMT PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1309","description":"PALLIATIVE CARE SVCS PRVD PT ANY TM DUR MSMT PRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":293.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":326.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":293.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":326.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":183.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":183.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":249.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":249.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARENTERAL NUTRITION ADMINISTRATION KIT PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4224","description":"PARENTERAL NUTRITION ADMINISTRATION KIT PER DAY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARENTERAL NUTRITION INFUSION PUMP PORTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B9004","description":"PARENTERAL NUTRITION INFUSION PUMP PORTABLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2170.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2170.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARENTERAL NUTRITION INFUSION PUMP STATIONARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B9006","description":"PARENTERAL NUTRITION INFUSION PUMP STATIONARY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2170.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2170.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARENTERAL NUTRITION SUPPLY KIT; PREMIX PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4220","description":"PARENTERAL NUTRITION SUPPLY KIT; PREMIX PER DAY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.73,"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":"2022","billing_code":"E0791","description":"PARNTRAL INFUS PUMP STATIONRY SINGLE/MULTICHANEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARNTRAL NUTRITION SUPPLY KIT; HOME MIX PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4222","description":"PARNTRAL NUTRITION SUPPLY KIT; HOME MIX PER DAY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2046.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2046.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":467.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1021.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1021.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2425.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2425.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2553.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2553.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1025.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1025.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1254.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1254.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1169.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1169.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1127.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1127.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1121.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1121.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1121.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1121.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1130.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1130.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1130.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1130.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1097.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1097.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1097.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1097.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1043.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1043.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1043.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":494.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":494.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88331","description":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.5,"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":null,"billing_code":"3318F","description":"PATH REPRT MALIGNANCY DOCD  AND  RVWD INITIA RAD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CLINICAL CONSLTJ PROLNG SVC EA ADDL 30","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80506","description":"PATHOLOGY CLINICAL CONSLTJ PROLNG SVC EA ADDL 30","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CLINICAL CONSULTATION HI MDM 41-60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80505","description":"PATHOLOGY CLINICAL CONSULTATION HI MDM 41-60 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CLINICAL CONSULTATION MOD MDM 21-40MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80504","description":"PATHOLOGY CLINICAL CONSULTATION MOD MDM 21-40MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CLINICAL CONSULTATION SF MDM 5-20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80503","description":"PATHOLOGY CLINICAL CONSULTATION SF MDM 5-20 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"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":null,"billing_code":"G9689","description":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RCV PV/PS VACCINE ON/AFT 19TH BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1304","description":"PATIENT DID NOT RCV PV/PS VACCINE ON/AFT 19TH BD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RCV PV/PS VACCINE ON/AFT 19TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1304","description":"PATIENT DID NOT RCV PV/PS VACCINE ON/AFT 19TH BD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ENC DUR THE PERF PER HPC SP CODE 17","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1365","description":"PATIENT ENC DUR THE PERF PER HPC SP CODE 17","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ENC DUR THE PERF PER HPC SP CODE 17","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1365","description":"PATIENT ENC DUR THE PERF PER HPC SP CODE 17","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ANA D/T PV ANY TM DUR/B4 MSMT PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1306","description":"PATIENT HAD ANA D/T PV ANY TM DUR/B4 MSMT PRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ANA D/T PV ANY TM DUR/B4 MSMT PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1306","description":"PATIENT HAD ANA D/T PV ANY TM DUR/B4 MSMT PRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 COPD SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1218","description":"PATIENT HAS COPD SYMPTOMS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 COPD SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1218","description":"PATIENT HAS COPD SYMPTOMS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IDENTIFIED UH ALC USER RCV BRIEF CNSLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2200","description":"PATIENT IDENTIFIED UH ALC USER RCV BRIEF CNSLG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IDENTIFIED UH ALC USER RCV BRIEF CNSLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2200","description":"PATIENT IDENTIFIED UH ALC USER RCV BRIEF CNSLG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BATHROOM OR TOILET NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0625","description":"PATIENT LIFT BATHROOM OR TOILET NOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":447.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1124.72,"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":"2022","billing_code":"E0635","description":"PATIENT LIFT ELECTRIC WITH SEAT OR SLING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1124.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT FIX SYS INCLUDES ALL CMPNTS/ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0640","description":"PATIENT LIFT FIX SYS INCLUDES ALL CMPNTS/ACCESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1110.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1110.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":761.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":761.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":761.6,"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":null,"billing_code":"G9417","description":"PATIENT NO 1 TET DT  and  TDAP ON/BTW PT 10  and  13 BD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ACT DX OF HYPERTENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1290","description":"PATIENT NOT ELIGIBLE D/T ACT DX OF HYPERTENSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ACT DX OF HYPERTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1290","description":"PATIENT NOT ELIGIBLE D/T ACT DX OF HYPERTENSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"M1312","description":"PATIENT NOT SCREENED FOR TOBACCO USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"M1312","description":"PATIENT NOT SCREENED FOR TOBACCO USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RCVD PCV/PS VACCINE ON/AFT 19TH BIRTHDAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1305","description":"PATIENT RCVD PCV/PS VACCINE ON/AFT 19TH BIRTHDAY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RCVD PCV/PS VACCINE ON/AFT 19TH BIRTHDAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1305","description":"PATIENT RCVD PCV/PS VACCINE ON/AFT 19TH BIRTHDAY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RECEIVES HCV ANTIBODY TEST W/NR RESULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1231","description":"PATIENT RECEIVES HCV ANTIBODY TEST W/NR RESULT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RECEIVES HCV ANTIBODY TEST W/NR RESULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1231","description":"PATIENT RECEIVES HCV ANTIBODY TEST W/NR RESULT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RECEIVES HCV ANTIBODY TEST W/REACT RSLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1232","description":"PATIENT RECEIVES HCV ANTIBODY TEST W/REACT RSLT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RECEIVES HCV ANTIBODY TEST W/REACT RSLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1232","description":"PATIENT RECEIVES HCV ANTIBODY TEST W/REACT RSLT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 FOR TOB USE AND ID AS A TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1283","description":"PATIENT SCR FOR TOB USE AND ID AS A TOBACCO USER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 FOR TOB USE AND ID AS A TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1283","description":"PATIENT SCR FOR TOB USE AND ID AS A TOBACCO USER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 TOB USE AND ID AS A TOBACCO NON-USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1282","description":"PATIENT SCR TOB USE AND ID AS A TOBACCO NON-USER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 TOB USE AND ID AS A TOBACCO NON-USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1282","description":"PATIENT SCR TOB USE AND ID AS A TOBACCO NON-USER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 STS DOC W/I 1ST YEAR INITIATING DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1259","description":"PATIENT STS DOC W/I 1ST YEAR INITIATING DIALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 STS DOC W/I 1ST YEAR INITIATING DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1259","description":"PATIENT STS DOC W/I 1ST YEAR INITIATING DIALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 STS NOT DOC W/I 1ST YEAR INITIATING DLYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1260","description":"PATIENT STS NOT DOC W/I 1ST YEAR INITIATING DLYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 STS NOT DOC W/I 1ST YEAR INITIATING DLYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1260","description":"PATIENT STS NOT DOC W/I 1ST YEAR INITIATING DLYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"M1018","description":"PATIENTS ACTV DX/HX CA PT HVY TOB SMKR LC SCR PT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ADMITTED TO A SKILLED NURSING FACILITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1266","description":"PATIENTS ADMITTED TO A SKILLED NURSING FACILITY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ADMITTED TO A SKILLED NURSING FACILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1266","description":"PATIENTS ADMITTED TO A SKILLED NURSING FACILITY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CN ON CON WITH CSP  and  EXPLICITLY OPT OUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1317","description":"PATIENTS CN ON CON WITH CSP  and  EXPLICITLY OPT OUT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CN ON CON WITH CSP  and  EXPLICITLY OPT OUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1317","description":"PATIENTS CN ON CON WITH CSP  and  EXPLICITLY OPT OUT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DECEASED WHEN HU SURVEY REACHED THEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1254","description":"PATIENTS DECEASED WHEN HU SURVEY REACHED THEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DECEASED WHEN HU SURVEY REACHED THEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1254","description":"PATIENTS DECEASED WHEN HU SURVEY REACHED THEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HAD IVTA/PERIOCULAR CORTICOSTEROID INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1324","description":"PATIENTS HAD IVTA/PERIOCULAR CORTICOSTEROID INJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HAD IVTA/PERIOCULAR CORTICOSTEROID INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1324","description":"PATIENTS HAD IVTA/PERIOCULAR CORTICOSTEROID INJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IN HS ON INIT OF DLYS DT/DUR MO OF EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1263","description":"PATIENTS IN HS ON INIT OF DLYS DT/DUR MO OF EVAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IN HS ON INIT OF DLYS DT/DUR MO OF EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1263","description":"PATIENTS IN HS ON INIT OF DLYS DT/DUR MO OF EVAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NO SUI SP INIT REV/UPDATED/REV  and  UPD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1354","description":"PATIENTS NO SUI SP INIT REV/UPDATED/REV  and  UPD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NO SUI SP INIT REV/UPDATED/REV  and  UPD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1354","description":"PATIENTS NO SUI SP INIT REV/UPDATED/REV  and  UPD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HAVE F/U ASSMT WI 120 DYS IDX ASSMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1363","description":"PATIENTS NOT HAVE F/U ASSMT WI 120 DYS IDX ASSMT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HAVE F/U ASSMT WI 120 DYS IDX ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1363","description":"PATIENTS NOT HAVE F/U ASSMT WI 120 DYS IDX ASSMT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 OBS ACTIVE STS ON ANY KD/ K/P TWL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1267","description":"PATIENTS NOT OBS ACTIVE STS ON ANY KD/ K/P TWL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 OBS ACTIVE STS ON ANY KD/ K/P TWL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1267","description":"PATIENTS NOT OBS ACTIVE STS ON ANY KD/ K/P TWL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DURING THE MEASUREMENT PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1356","description":"PATIENTS WHO DIED DURING THE MEASUREMENT PERIOD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DURING THE MEASUREMENT PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1362","description":"PATIENTS WHO DIED DURING THE MEASUREMENT PERIOD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DURING THE MEASUREMENT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1356","description":"PATIENTS WHO DIED DURING THE MEASUREMENT PERIOD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DURING THE MEASUREMENT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1362","description":"PATIENTS WHO DIED DURING THE MEASUREMENT PERIOD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DURING THE PERFORMANCE PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1342","description":"PATIENTS WHO DIED DURING THE PERFORMANCE PERIOD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DURING THE PERFORMANCE PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1342","description":"PATIENTS WHO DIED DURING THE PERFORMANCE PERIOD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HAD A TPLNT PRI TO INIT OF DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1262","description":"PATIENTS WHO HAD A TPLNT PRI TO INIT OF DIALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HAD A TPLNT PRI TO INIT OF DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1262","description":"PATIENTS WHO HAD A TPLNT PRI TO INIT OF DIALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SCREENED POS FOR AL 1 OF 5 HRSNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1320","description":"PATIENTS WHO SCREENED POS FOR AL 1 OF 5 HRSNS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SCREENED POS FOR AL 1 OF 5 HRSNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1320","description":"PATIENTS WHO SCREENED POS FOR AL 1 OF 5 HRSNS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 A DIAGNOSIS OF HYPOTONY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1326","description":"PATIENTS WITH A DIAGNOSIS OF HYPOTONY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 A DIAGNOSIS OF HYPOTONY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1326","description":"PATIENTS WITH A DIAGNOSIS OF HYPOTONY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 A DX OF ACUTE VITREOUS HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1328","description":"PATIENTS WITH A DX OF ACUTE VITREOUS HEMORRHAGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 A DX OF ACUTE VITREOUS HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1328","description":"PATIENTS WITH A DX OF ACUTE VITREOUS HEMORRHAGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DEMENTIA AT ANY TIME PRI TO/DUR MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1271","description":"PATIENTS WITH DEMENTIA AT ANY TIME PRI TO/DUR MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DEMENTIA AT ANY TIME PRI TO/DUR MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1271","description":"PATIENTS WITH DEMENTIA AT ANY TIME PRI TO/DUR MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 OF TOTAL COLECTOMY/CRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1295","description":"PATIENTS WITH DX/PAST HX OF TOTAL COLECTOMY/CRC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 OF TOTAL COLECTOMY/CRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1295","description":"PATIENTS WITH DX/PAST HX OF TOTAL COLECTOMY/CRC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAYMENT TH DSNT SITE SRVC FURN RHC/FQHC ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2025","description":"PAYMENT TH DSNT SITE SRVC FURN RHC/FQHC ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAYMENT TH DSNT SITE SRVC FURN RHC/FQHC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2025","description":"PAYMENT TH DSNT SITE SRVC FURN RHC/FQHC ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCA3/KLK3 PROSTATE SPECIFIC ANTIGEN RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81313","description":"PCA3/KLK3 PROSTATE SPECIFIC ANTIGEN RATIO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.29,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.99,"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":"2022","billing_code":"90670","description":"PCV13 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV15 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90671","description":"PCV15 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":269.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV15 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90671","description":"PCV15 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":269.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV20 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90677","description":"PCV20 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV20 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90677","description":"PCV20 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV21 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90684","description":"PCV21 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":344.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV21 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90684","description":"PCV21 VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":344.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDGFRA GENE ANALYS TARGETED SEQUENCE ANALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81314","description":"PDGFRA GENE ANALYS TARGETED SEQUENCE ANALYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":247.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96573","description":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96573","description":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":249.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2492.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2492.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":249.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2492.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2492.0,"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":null,"billing_code":"G9593","description":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SZD DISPBL INCONT PROD BRF/DIAPER LG SZ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4530","description":"PED SZD DISPBL INCONT PROD BRF/DIAPER LG SZ EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED SZD DISPBL INCONT PROD BRF/DIAPER LG SZ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4530","description":"PED SZD DISPBL INCONT PROD BRF/DIAPER LG SZ EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED SZD DISPBL INCONT PROD BRF/DIAPER SM/MED EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4529","description":"PED SZD DISPBL INCONT PROD BRF/DIAPER SM/MED EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED SZD DISPBL INCONT PROD BRF/DIAPER SM/MED EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4529","description":"PED SZD DISPBL INCONT PROD BRF/DIAPER SM/MED EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED SZD DISPBL INCONT PROD UNDWEAR SM/MED EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4531","description":"PED SZD DISPBL INCONT PROD UNDWEAR SM/MED EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED SZD DISPBL INCONT PROD UNDWEAR SM/MED EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4531","description":"PED SZD DISPBL INCONT PROD UNDWEAR SM/MED EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED SZD DISPBL INCONT PROD UNDWEAR/PULLON LG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4532","description":"PED SZD DISPBL INCONT PROD UNDWEAR/PULLON LG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED SZD DISPBL INCONT PROD UNDWEAR/PULLON LG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4532","description":"PED SZD DISPBL INCONT PROD UNDWEAR/PULLON LG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC APNEA MONITOR PHYS/QHP REVIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94777","description":"PEDIATRIC APNEA MONITOR PHYS/QHP REVIEW","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC HOME APNEA MNTR REVIEW I and R PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94777","description":"PEDIATRIC HOME APNEA MNTR REVIEW I and R PHYS/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC HOME APNEA MNTR REVIEW I and R PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94777","description":"PEDIATRIC HOME APNEA MNTR REVIEW I and R PHYS/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.19,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4320","description":"PELLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4320","description":"PELLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99459","description":"PELVIC EXAMINATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99459","description":"PELVIC EXAMINATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE CONTRACTURE DEV MANUAL  GT 3 LBS TRXN FORCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0201","description":"PENILE CONTRACTURE DEV MANUAL  GT 3 LBS TRXN FORCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":321.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":321.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92972","description":"PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92972","description":"PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":394.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":394.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":460.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":541.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":460.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":541.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":541.69,"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":null,"billing_code":"G8806","description":"PERFORM TRANS-ABD/TRANS-VAG U/S  and  PREG LOC DOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MET MULTIMODAL PAIN MGMNT WAS USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2148","description":"PERFORMANCE MET MULTIMODAL PAIN MGMNT WAS USED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":420.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":494.47,"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":"2022","billing_code":"19371","description":"PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":420.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":494.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33016","description":"PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33016","description":"PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":691.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":691.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74775","description":"PERINEOGRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74775","description":"PERINEOGRAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99392","description":"PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99392","description":"PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99394","description":"PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99394","description":"PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99395","description":"PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99395","description":"PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99393","description":"PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99393","description":"PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 65YRS AND  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99397","description":"PERIODIC PREVENTIVE MED EST PATIENT 65YRS AND  OLDER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 65YRS AND  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99397","description":"PERIODIC PREVENTIVE MED EST PATIENT 65YRS AND  OLDER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT  LT 1Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99391","description":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT  LT 1Y","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT  LT 1Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99391","description":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT  LT 1Y","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":956.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":956.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":956.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":956.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1318.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1318.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1318.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1318.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1517.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1517.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1517.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1517.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL ARTERIAL DISEASE REHAB PER SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93668","description":"PERIPHERAL ARTERIAL DISEASE REHAB PER SESSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL ARTERIAL DISEASE REHAB PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93668","description":"PERIPHERAL ARTERIAL DISEASE REHAB PER SESSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","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":null,"billing_code":"G9770","description":"PERIPHERAL NERVE BLOCK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":420.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":420.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":494.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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-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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERM LONG-TERM NONDISSOLVABLE LAC DUCT IMPL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4263","description":"PERM LONG-TERM NONDISSOLVABLE LAC DUCT IMPL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERM LONG-TERM NONDISSOLVABLE LAC DUCT IMPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4263","description":"PERM LONG-TERM NONDISSOLVABLE LAC DUCT IMPL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERMEADERM B PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2016","description":"PERMEADERM B PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERMEADERM B PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2016","description":"PERMEADERM B PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERMEADERM C PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2018","description":"PERMEADERM C PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERMEADERM C PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2018","description":"PERMEADERM C PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ACCESS  AND  CLOSURE FEM ART FOR DELIVERY NDGFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34713","description":"PERQ ACCESS  AND  CLOSURE FEM ART FOR DELIVERY NDGFT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ACCESS  AND  CLOSURE FEM ART FOR DELIVERY NDGFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34713","description":"PERQ ACCESS  AND  CLOSURE FEM ART FOR DELIVERY NDGFT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ART TRLUML M-THROMBEC  and /NFS INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61645","description":"PERQ ART TRLUML M-THROMBEC  and /NFS INTRACRANIAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":668.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ART TRLUML M-THROMBEC  and /NFS INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61645","description":"PERQ ART TRLUML M-THROMBEC  and /NFS INTRACRANIAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":668.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36837","description":"PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":353.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7241.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7241.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36837","description":"PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":353.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7241.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7241.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ AV FISTULA CREATION UXTR SINGLE ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36836","description":"PERQ AV FISTULA CREATION UXTR SINGLE ACCESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":270.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5089.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5089.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ AV FISTULA CREATION UXTR SINGLE ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36836","description":"PERQ AV FISTULA CREATION UXTR SINGLE ACCESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":270.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5089.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5089.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BALO DILA IC VSPSM EA VSL DIFF VASC TER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61642","description":"PERQ BALO DILA IC VSPSM EA VSL DIFF VASC TER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":191.7078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":191.7078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":198.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":198.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":200.5657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":200.5657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":206.0168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":206.0168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BALO DILA IC VSPSM EA VSL DIFF VASC TER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61642","description":"PERQ BALO DILA IC VSPSM EA VSL DIFF VASC TER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":191.7078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":191.7078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":198.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":198.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":200.5657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":200.5657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":206.0168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":206.0168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BALO DILA IC VSPSM EA VSL SM VASC TER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61641","description":"PERQ BALO DILA IC VSPSM EA VSL SM VASC TER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.5051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.5051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":96.2948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":96.2948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":98.4993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":98.4993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BALO DILA IC VSPSM EA VSL SM VASC TER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61641","description":"PERQ BALO DILA IC VSPSM EA VSL SM VASC TER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.5051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.5051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":96.2948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":96.2948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":98.4993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":98.4993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19287","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":621.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19287","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":621.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":621.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.078,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19288","description":"PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":490.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19288","description":"PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.0805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":490.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":490.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19284","description":"PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19284","description":"PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19286","description":"PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":279.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19286","description":"PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":279.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33340","description":"PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":652.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33340","description":"PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":652.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19281","description":"PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19281","description":"PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19282","description":"PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19282","description":"PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50436","description":"PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50436","description":"PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50437","description":"PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50437","description":"PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32557","description":"PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":431.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32557","description":"PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":431.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32556","description":"PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":398.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32556","description":"PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":398.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ISLET CELL TPLNT INCL PORTL VEIN CATH AND INFUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0341","description":"PERQ ISLET CELL TPLNT INCL PORTL VEIN CATH AND INFUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1292.4144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1292.4144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":853.0456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":853.0456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":871.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":871.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":892.3652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":892.3652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ISLET CELL TPLNT INCL PORTL VEIN CATH AND INFUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0341","description":"PERQ ISLET CELL TPLNT INCL PORTL VEIN CATH AND INFUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1292.4144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1292.4144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":853.0456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":853.0456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":871.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":871.2625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":892.3652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":892.3652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1011.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1011.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1011.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1011.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33902","description":"PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":482.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":568.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33902","description":"PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":482.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":482.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":568.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33903","description":"PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":569.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":669.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33903","description":"PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":569.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":669.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33901","description":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":499.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":587.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33901","description":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":499.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":587.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":587.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33900","description":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":380.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":447.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33900","description":"PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":380.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":447.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33904","description":"PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33904","description":"PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ PERICARDIAL DRG W/INSJ NDWELLG CATH W/CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33019","description":"PERQ PERICARDIAL DRG W/INSJ NDWELLG CATH W/CT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ PERICARDIAL DRG W/INSJ NDWELLG CATH W/CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33019","description":"PERQ PERICARDIAL DRG W/INSJ NDWELLG CATH W/CT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ PRCRD DRG 0-5YR/ANY AGE W/CGEN CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33018","description":"PERQ PRCRD DRG 0-5YR/ANY AGE W/CGEN CAR ANOMALY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ PRCRD DRG 0-5YR/ANY AGE W/CGEN CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33018","description":"PERQ PRCRD DRG 0-5YR/ANY AGE W/CGEN CAR ANOMALY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ PRCRD DRG 6YR Plus  W/O CONGENITAL CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33017","description":"PERQ PRCRD DRG 6YR Plus  W/O CONGENITAL CAR ANOMALY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ PRCRD DRG 6YR Plus  W/O CONGENITAL CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33017","description":"PERQ PRCRD DRG 6YR Plus  W/O CONGENITAL CAR ANOMALY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43762","description":"PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43762","description":"PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43763","description":"PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":264.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43763","description":"PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":264.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":393.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SFT TISS LOC DEVICE PLMT ADD LES W/GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10036","description":"PERQ SFT TISS LOC DEVICE PLMT ADD LES W/GDNCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":328.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":365.8801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":365.8801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.8324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.8324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":388.9268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":388.9268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":414.7991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":414.7991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":438.0261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":438.0261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":447.4652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":447.4652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":456.2229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":456.2229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":514.9417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":514.9417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":527.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":527.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":551.5958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":551.5958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":562.4778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":562.4778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":665.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":665.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":365.8801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":365.8801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.8324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.8324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":388.9268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":388.9268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":414.7991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":414.7991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":438.0261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":438.0261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":447.4652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":447.4652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":456.2229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":456.2229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":514.9417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":514.9417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":527.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":527.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":551.5958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":551.5958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":562.4778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":562.4778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":665.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":665.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":519.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":610.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":519.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":610.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT PLMT NTRAC ST 1 LES 1 Plus C SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92928","description":"PERQ TCAT PLMT NTRAC ST 1 LES 1 Plus C SEGMENTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":354.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT PLMT NTRAC ST 1 LES 1 Plus C SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92928","description":"PERQ TCAT PLMT NTRAC ST 1 LES 1 Plus C SEGMENTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":354.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT PLMT NTRAC ST 2 Plus LES 2 Plus ST 2 Plus C SEGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92930","description":"PERQ TCAT PLMT NTRAC ST 2 Plus LES 2 Plus ST 2 Plus C SEGM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":339.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":399.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT PLMT NTRAC ST 2 Plus LES 2 Plus ST 2 Plus C SEGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92930","description":"PERQ TCAT PLMT NTRAC ST 2 Plus LES 2 Plus ST 2 Plus C SEGM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":339.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":399.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRANSLUMINAL ANGIOPLASTY NATIVE/RECR COA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33897","description":"PERQ TRANSLUMINAL ANGIOPLASTY NATIVE/RECR COA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":382.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":449.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRANSLUMINAL ANGIOPLASTY NATIVE/RECR COA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33897","description":"PERQ TRANSLUMINAL ANGIOPLASTY NATIVE/RECR COA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":382.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":449.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART and /BRANCHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92920","description":"PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART and /BRANCHES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":271.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART and /BRANCHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92920","description":"PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART and /BRANCHES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":271.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD and RTRGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92945","description":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD and RTRGR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":424.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":499.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD and RTRGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92945","description":"PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD and RTRGR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":424.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":499.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART and /BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92937","description":"PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART and /BRNCH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":354.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART and /BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92937","description":"PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART and /BRNCH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":354.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92941","description":"PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":337.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":397.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92941","description":"PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":337.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":397.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22514","description":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":320.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":376.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5431.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5431.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22514","description":"PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":320.314,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":376.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":376.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5431.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5431.04,"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":null,"billing_code":"1038F","description":"PERSISTENT ASTHMA MILD MODERATE OR SEVERE ASTHMA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY DISPOSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4564","description":"PESSARY DISPOSABLE ANY TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY DISPOSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4564","description":"PESSARY DISPOSABLE ANY TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":826.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":918.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":826.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":826.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":918.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":748.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":831.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":748.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":831.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":845.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":845.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":939.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":845.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":845.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":939.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":939.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":534.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":594.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":534.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":594.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":661.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":734.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":661.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":734.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":683.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":759.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":683.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":759.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.69,"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":null,"billing_code":"G8635","description":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MANAGEMENT W/PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90863","description":"PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90863","description":"PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.1275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.95,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1595.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1595.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1595.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1595.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1869.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1869.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1869.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1869.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOENIX WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2015","description":"PHOENIX WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOENIX WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2015","description":"PHOENIX WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHATIDYLGLYCEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84081","description":"PHOSPHATIDYLGLYCEROL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0454","description":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0454","description":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.344,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.64,"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":null,"billing_code":"2040F","description":"PHYS EXAM ON DATE OF INIT VST FOR LBP DONE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 OTH PROF E AND M BENEFIC CHG COND NSG FACILITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9685","description":"PHYS OTH PROF E AND M BENEFIC CHG COND NSG FACILITY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":98.4592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":98.4592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS OTH PROF E AND M BENEFIC CHG COND NSG FACILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9685","description":"PHYS OTH PROF E AND M BENEFIC CHG COND NSG FACILITY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":98.4592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":98.4592,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99360","description":"PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99360","description":"PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP DIRECTION EMERGENCY MEDICAL SYSTEMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99288","description":"PHYS/QHP DIRECTION EMERGENCY MEDICAL SYSTEMS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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/QHP DIRECTION EMERGENCY MEDICAL SYSTEMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99288","description":"PHYS/QHP DIRECTION EMERGENCY MEDICAL SYSTEMS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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/QHP EDUCATION SVCS RENDERED PTS GRP SETTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99078","description":"PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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/QHP EDUCATION SVCS RENDERED PTS GRP SETTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99078","description":"PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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/QHP SVCS OP PULM REHAB W/CONT OXIMTRY MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94626","description":"PHYS/QHP SVCS OP PULM REHAB W/CONT OXIMTRY MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP SVCS OP PULM REHAB W/CONT OXIMTRY MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94626","description":"PHYS/QHP SVCS OP PULM REHAB W/CONT OXIMTRY MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP SVCS OP PULM REHAB WO CONT OXIMTRY MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94625","description":"PHYS/QHP SVCS OP PULM REHAB WO CONT OXIMTRY MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP SVCS OP PULM REHAB WO CONT OXIMTRY MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94625","description":"PHYS/QHP SVCS OP PULM REHAB WO CONT OXIMTRY MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PIK3CA GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81309","description":"PIK3CA GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":206.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":206.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PILD/PLACEBO CONTROL CLIN TR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0276","description":"PILD/PLACEBO CONTROL CLIN TR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.2331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.2331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":212.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":212.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":215.3757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":215.3757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.8995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.8995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PILD/PLACEBO CONTROL CLIN TR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0276","description":"PILD/PLACEBO CONTROL CLIN TR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.2331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.2331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":212.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":212.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":215.3757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":215.3757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.8995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.8995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":236.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":307.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":236.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":307.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":236.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":307.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PINWORM EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0113","description":"PINWORM EXAMINATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":720.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":720.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34709","description":"PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":264.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34709","description":"PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":264.91,"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":null,"billing_code":"0545F","description":"PLAN FOR FOLLOW-UP CARE FOR MDD DOCD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET AGGREGATION IN VITRO EACH AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85576","description":"PLATELET AGGREGATION IN VITRO EACH AGENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET AGGREGATION IN VITRO EACH AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85576","description":"PLATELET AGGREGATION IN VITRO EACH AGENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCG2 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81320","description":"PLCG2 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT OCCL DEVC VENUS/ART POST SURG/INTRVNL PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0269","description":"PLCMT OCCL DEVC VENUS/ART POST SURG/INTRVNL PROC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT OCCL DEVC VENUS/ART POST SURG/INTRVNL PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0269","description":"PLCMT OCCL DEVC VENUS/ART POST SURG/INTRVNL PROC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1301.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1301.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1301.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1301.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":559.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":559.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":559.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":704.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":704.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":753.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":753.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3124.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3124.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3124.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3124.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50433","description":"PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS AND I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":904.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":904.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50433","description":"PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS AND I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":904.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":904.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":872.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":872.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":531.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.2635,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":531.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":393.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":393.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT SFT TISS LOCLZJ DEV PERQ EACH ADDL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10036","description":"PLMT SFT TISS LOCLZJ DEV PERQ EACH ADDL LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":328.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PLMT SFT TISS LOCLZJ DEV PERQ EACH ADDL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10036","description":"PLMT SFT TISS LOCLZJ DEV PERQ EACH ADDL LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":328.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PML/RARALPHA COMMON BREAKPOINTS QUAL/QUANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81315","description":"PML/RARALPHA COMMON BREAKPOINTS QUAL/QUANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PML/RARALPHA SINGLE BREAKPOINT QUAL/QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81316","description":"PML/RARALPHA SINGLE BREAKPOINT QUAL/QUAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMP22 GENE ANAL DUPLICATION/DELETION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81324","description":"PMP22 GENE ANAL DUPLICATION/DELETION ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":568.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":568.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMP22 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81325","description":"PMP22 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":577.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMP22 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81326","description":"PMP22 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMS2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81319","description":"PMS2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMS2 GENE ANALYSIS FULL SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81317","description":"PMS2 GENE ANALYSIS FULL SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":507.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMS2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81318","description":"PMS2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":429.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4298.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4298.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":429.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4298.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4298.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":790.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":790.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":504.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5046.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5046.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":510.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.37,"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":null,"billing_code":"G9279","description":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D/C","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":888.35,"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":"2022","billing_code":"32940","description":"PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":888.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":888.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":649.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":649.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.197,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55000","description":"PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55000","description":"PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLARIZATION ANY LENS MATERIAL PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2762","description":"POLARIZATION ANY LENS MATERIAL PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLARIZATION ANY LENS MATERIAL PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2762","description":"POLARIZATION ANY LENS MATERIAL PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLISHING/RESURFACING OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2624","description":"POLISHING/RESURFACING OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLISHING/RESURFACING OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2624","description":"POLISHING/RESURFACING OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYCARBONATE BOTTLE USE W/BREAST PUMP REPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4285","description":"POLYCARBONATE BOTTLE USE W/BREAST PUMP REPL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYCARBONATE BOTTLE USE W/BREAST PUMP REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4285","description":"POLYCARBONATE BOTTLE USE W/BREAST PUMP REPL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":288.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":360.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":288.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":360.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":315.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":394.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":315.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":394.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":394.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POOLING PLATELETS/OTHER BLOOD PRODUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86965","description":"POOLING PLATELETS/OTHER BLOOD PRODUCTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["32"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["32"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["32"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["32"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONAL NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92532","description":"POSITIONAL NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONAL NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92532","description":"POSITIONAL NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONING CUSH/PILLOW/WEDGE INCL ALL COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0190","description":"POSITIONING CUSH/PILLOW/WEDGE INCL ALL COMPONENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"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":null,"billing_code":"G8850","description":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9597","description":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5029.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5029.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9597","description":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5029.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5029.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST DISCHARGE TELEPHONIC F/U 4 CALLS PER CAL MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0544","description":"POST DISCHARGE TELEPHONIC F/U 4 CALLS PER CAL MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST DISCHARGE TELEPHONIC F/U 4 CALLS PER CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0544","description":"POST DISCHARGE TELEPHONIC F/U 4 CALLS PER CAL MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":168.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":168.71,"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":null,"billing_code":"G9358","description":"POST-PARTUM SCREEN EVAL EDUCATION NOT PERFORMED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":468.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":468.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":468.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":469.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":469.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":585.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":585.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99024","description":"POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99024","description":"POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":256.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":256.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":173.23,"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":"2022","billing_code":"Q0478","description":"POWER ADAPTER ELECTRIC/PNEUMAT VAD VEHICLE TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":173.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":646.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":646.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11286.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11286.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11286.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11286.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER OPERATED VEHICLE NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0812","description":"POWER OPERATED VEHICLE NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1100.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15322.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15322.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15322.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15322.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER SRC and CTRL ELEC ORAL DVC NEUMUSC ELC STM TNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0492","description":"POWER SRC and CTRL ELEC ORAL DVC NEUMUSC ELC STM TNG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2250.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2250.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2250.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2250.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":307.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":307.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":449.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":449.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":516.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":516.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":447.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":447.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR PEDIATRIC SIZE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1239","description":"POWER WHEELCHAIR PEDIATRIC SIZE NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2200.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2200.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":413.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWERED CABLE DRIVN GRIP ASSIST GLOVE REPLC ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A8006","description":"POWERED CABLE DRIVN GRIP ASSIST GLOVE REPLC ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWERED CABLE DRIVN GRIP ASSIST GLOVE REPLC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8006","description":"POWERED CABLE DRIVN GRIP ASSIST GLOVE REPLC ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWERED CABLE DRVN GRIP ASSIST GLOVE HAND FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A8005","description":"POWERED CABLE DRVN GRIP ASSIST GLOVE HAND FINGER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWERED CABLE DRVN GRIP ASSIST GLOVE HAND FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8005","description":"POWERED CABLE DRVN GRIP ASSIST GLOVE HAND FINGER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3046.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3046.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3046.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3046.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PPP2R2B GENE ANALYSIS EVAL DETC ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81343","description":"PPP2R2B GENE ANALYSIS EVAL DETC ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.47,"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":null,"billing_code":"3018F","description":"PRE-PRX RISK ASSESS DEPTH AND QUAL BOWEL PREP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREDNISONE IMMEDIATE RLSE/DELAYED RLSE ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7512","description":"PREDNISONE IMMEDIATE RLSE/DELAYED RLSE ORAL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREDNISONE IMMEDIATE RLSE/DELAYED RLSE ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7512","description":"PREDNISONE IMMEDIATE RLSE/DELAYED RLSE ORAL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANEDIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84135","description":"PREGNANEDIOL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANETRIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84138","description":"PREGNANETRIOL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNENOLONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84140","description":"PREGNENOLONE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2892.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2892.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CARE AT-RISK ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H1000","description":"PRENATAL CARE AT-RISK ASSESSMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1000","description":"PRENATAL CARE AT-RISK ASSESSMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHANCED SERVICE PACKAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H1005","description":"PRENATAL CARE AT-RISK ENHANCED SERVICE PACKAGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":246.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHANCED SERVICE PACKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1005","description":"PRENATAL CARE AT-RISK ENHANCED SERVICE PACKAGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":246.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":246.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHNCD SERVICE; EDUCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H1003","description":"PRENATAL CARE AT-RISK ENHNCD SERVICE; EDUCATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHNCD SERVICE; EDUCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1003","description":"PRENATAL CARE AT-RISK ENHNCD SERVICE; EDUCATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHNCD SRVC; ANTPRTM MGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H1001","description":"PRENATAL CARE AT-RISK ENHNCD SRVC; ANTPRTM MGMT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHNCD SRVC; ANTPRTM MGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1001","description":"PRENATAL CARE AT-RISK ENHNCD SRVC; ANTPRTM MGMT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHNCD SRVC;CARE COORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H1002","description":"PRENATAL CARE AT-RISK ENHNCD SRVC;CARE COORD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHNCD SRVC;CARE COORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1002","description":"PRENATAL CARE AT-RISK ENHNCD SRVC;CARE COORD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.01,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2200.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2200.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2576.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2576.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2293.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2293.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1826.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1826.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2183.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2183.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1513.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1513.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1377.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1377.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1603.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1603.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1380.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1380.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1926.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1926.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2335.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2335.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1995.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1995.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3338.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3338.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2933.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2933.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP IT FEC MICROBIOTA ANY METH ASMT DONOR SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0455","description":"PREP IT FEC MICROBIOTA ANY METH ASMT DONOR SPEC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.7159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.7159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.4887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.4887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":74.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":74.9316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP IT FEC MICROBIOTA ANY METH ASMT DONOR SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0455","description":"PREP IT FEC MICROBIOTA ANY METH ASMT DONOR SPEC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.7159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.7159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.4887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.4887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":74.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":74.9316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP REPORT PT PSYCH STATUS AGENCY/PAYER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90889","description":"PREP REPORT PT PSYCH STATUS AGENCY/PAYER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 REPORT PT PSYCH STATUS AGENCY/PAYER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90889","description":"PREP REPORT PT PSYCH STATUS AGENCY/PAYER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3379.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3379.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3113.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3113.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":228.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":228.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19294","description":"PREP TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1729.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1729.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1374.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1374.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49013","description":"PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":305.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":359.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49013","description":"PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":305.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":305.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":359.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.0995,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19294","description":"PREPJ TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19294","description":"PREPJ TUMOR CAVITY IORT W/PARTIAL MASTECTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.3205,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCR DGTL COG and /BEHAV THERAP BF PER CRS TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9294","description":"PRESCR DGTL COG and /BEHAV THERAP BF PER CRS TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCR DGTL COG and /BEHAV THERAP BF PER CRS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9294","description":"PRESCR DGTL COG and /BEHAV THERAP BF PER CRS TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"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":null,"billing_code":"G8711","description":"PRESCRIB ANTIBIOTIC ON/W IN 3DAY AFT EPISOD DATE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 GENERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S5000","description":"PRESCRIPTION DRUG GENERIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG GENERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5000","description":"PRESCRIPTION DRUG GENERIC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.35,"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":null,"billing_code":"1090F","description":"PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESS-ON LENS  FRESNELL PRISM PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2718","description":"PRESS-ON LENS  FRESNELL PRISM PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESS-ON LENS  FRESNELL PRISM PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2718","description":"PRESS-ON LENS  FRESNELL PRISM PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.42,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRETECT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4438","description":"PRETECT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRETECT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4438","description":"PRETECT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"PRETX RBC ANTIBODY INCUBAT W/CHEM AGNTS/DRUGS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86970","description":"PRETX RBC ANTIBODY INCUBAT W/CHEM AGNTS/DRUGS EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX RBC ANTIBODY INCUBAT W/DENSITY GRAD SEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86972","description":"PRETX RBC ANTIBODY INCUBAT W/DENSITY GRAD SEP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX RBC ANTIBODY INCUBAT W/ENZYMES EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86971","description":"PRETX RBC ANTIBODY INCUBAT W/ENZYMES EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX SERUM RBC ANTB ID INCUBATION INHIBITORS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86977","description":"PRETX SERUM RBC ANTB ID INCUBATION INHIBITORS EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX SERUM RBC ANTIBODY ID DIFFIAL EACH ABSRPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86978","description":"PRETX SERUM RBC ANTIBODY ID DIFFIAL EACH ABSRPJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX SERUM RBC ANTIBODY IDENTIFICATION DILUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86976","description":"PRETX SERUM RBC ANTIBODY IDENTIFICATION DILUTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX SERUM RBC ANTIBODY INCUBATION DRUGS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86975","description":"PRETX SERUM RBC ANTIBODY INCUBATION DRUGS EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.43,"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":null,"billing_code":"G9662","description":"PREV DX OR HV DX CLINICAL ASCVD INCL ASCVD PROC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MED CNSL and /RSK FCTR RDCTJ INDV APPROX 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99401","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99401","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99402","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99402","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99403","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 45 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99403","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 45 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 30 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99411","description":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 30 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 30 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99411","description":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 30 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 60 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99412","description":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 60 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 60 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99412","description":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 60 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV and TX OF INF D/O INCL HEPC  and  HIV MIPS VAL PATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1368","description":"PREV and TX OF INF D/O INCL HEPC  and  HIV MIPS VAL PATH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 and TX OF INF D/O INCL HEPC  and  HIV MIPS VAL PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1368","description":"PREV and TX OF INF D/O INCL HEPC  and  HIV MIPS VAL PATH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99401","description":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99402","description":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99403","description":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 45 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.7,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1256.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1256.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1256.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1256.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1126.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1126.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1126.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1126.83,"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":null,"billing_code":"G9425","description":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4110","description":"PRIMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4110","description":"PRIMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIOR HISTORY OF KNOWN CVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1256","description":"PRIOR HISTORY OF KNOWN CVD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HISTORY OF KNOWN CVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1256","description":"PRIOR HISTORY OF KNOWN CVD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9553","description":"PRIOR THYROID DISEASE DIAGNOSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRISM PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2715","description":"PRISM PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRISM PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2715","description":"PRISM PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIV DUTY/INDEPEND NRS SERVICE LIC UP 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1000","description":"PRIV DUTY/INDEPEND NRS SERVICE LIC UP 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIV DUTY/INDEPEND NRS SERVICE LIC UP 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1000","description":"PRIV DUTY/INDEPEND NRS SERVICE LIC UP 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRLNG HI/OBS CARE EM BYD TT PRIM SRVC; EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0316","description":"PRLNG HI/OBS CARE EM BYD TT PRIM SRVC; EA 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRLNG HI/OBS CARE EM BYD TT PRIM SRVC; EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0316","description":"PRLNG HI/OBS CARE EM BYD TT PRIM SRVC; EA 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRLNG HM/RES EM SRVC BYD TT PRIM SRVC; EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0318","description":"PRLNG HM/RES EM SRVC BYD TT PRIM SRVC; EA 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRLNG HM/RES EM SRVC BYD TT PRIM SRVC; EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0318","description":"PRLNG HM/RES EM SRVC BYD TT PRIM SRVC; EA 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRLNG PREV SRVC OFC/OTH O/P DIR CTC;EA ADD 30 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0514","description":"PRLNG PREV SRVC OFC/OTH O/P DIR CTC;EA ADD 30 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRLNG PREV SRVC OFC/OTH O/P DIR CTC;EA ADD 30 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0514","description":"PRLNG PREV SRVC OFC/OTH O/P DIR CTC;EA ADD 30 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRLNG PREV SRVC OFC/OTH O/P RQR DIR CTC;1ST 30 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0513","description":"PRLNG PREV SRVC OFC/OTH O/P RQR DIR CTC;1ST 30 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRLNG PREV SRVC OFC/OTH O/P RQR DIR CTC;1ST 30 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0513","description":"PRLNG PREV SRVC OFC/OTH O/P RQR DIR CTC;1ST 30 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.43,"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":"2022","billing_code":"68840","description":"PROBE LACRIMAL CANALICULI W/WO IRRIGATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.6945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":454.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.6945,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":454.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCENTA PER 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4310","description":"PROCENTA PER 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1391.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1391.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCENTA PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4310","description":"PROCENTA PER 100 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1391.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1391.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.059,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PROF INI V ADM IV CT/OTH HH COP INFS RX H EA 15M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0090","description":"PROF INI V ADM IV CT/OTH HH COP INFS RX H EA 15M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF INI V ADM IV CT/OTH HH COP INFS RX H EA 15M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0090","description":"PROF INI V ADM IV CT/OTH HH COP INFS RX H EA 15M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SRVC INIT VST ADM ANTI-INF PM IND H EA 15 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0088","description":"PROF SRVC INIT VST ADM ANTI-INF PM IND H EA 15 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SRVC INIT VST ADM ANTI-INF PM IND H EA 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0088","description":"PROF SRVC INIT VST ADM ANTI-INF PM IND H EA 15 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVC INI V ADM SUB IMT/OTH INF RX H EA 15M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0089","description":"PROF SVC INI V ADM SUB IMT/OTH INF RX H EA 15M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVC INI V ADM SUB IMT/OTH INF RX H EA 15M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0089","description":"PROF SVC INI V ADM SUB IMT/OTH INF RX H EA 15M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGENAMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4222","description":"PROGENAMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGENAMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4222","description":"PROGENAMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLNG CLINCL STAFF SVC DURING O/P E/M 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99415","description":"PROLNG CLINCL STAFF SVC DURING O/P E/M 1ST HR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLNG CLINCL STAFF SVC DURING O/P E/M EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99416","description":"PROLNG CLINCL STAFF SVC DURING O/P E/M EA 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLNG E/M BEFORE and /AFTER DIR CARE EA 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99359","description":"PROLNG E/M BEFORE and /AFTER DIR CARE EA 30 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLNG E/M BEFORE and /AFTER DIR CARE EA 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99359","description":"PROLNG E/M BEFORE and /AFTER DIR CARE EA 30 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLNG E/M SVC BEFORE and /AFTER DIR PT CARE 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99358","description":"PROLNG E/M SVC BEFORE and /AFTER DIR PT CARE 1ST HR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLNG E/M SVC BEFORE and /AFTER DIR PT CARE 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99358","description":"PROLNG E/M SVC BEFORE and /AFTER DIR PT CARE 1ST HR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONG OFC/OP E and M BYND REQ TIME; EA ADD 15 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2212","description":"PROLONG OFC/OP E and M BYND REQ TIME; EA ADD 15 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONG OFC/OP E and M BYND REQ TIME; EA ADD 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2212","description":"PROLONG OFC/OP E and M BYND REQ TIME; EA ADD 15 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99415","description":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P 1ST HR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99415","description":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P 1ST HR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99416","description":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99416","description":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99418","description":"PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99418","description":"PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED NF EM SRVC BYD TT PRIM SRVC; EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0317","description":"PROLONGED NF EM SRVC BYD TT PRIM SRVC; EA 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED NF EM SRVC BYD TT PRIM SRVC; EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0317","description":"PROLONGED NF EM SRVC BYD TT PRIM SRVC; EA 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99417","description":"PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99417","description":"PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.83,"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":null,"billing_code":"G8570","description":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":216.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":244.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":216.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":244.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":216.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":244.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":244.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":615.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":615.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":615.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":773.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":773.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"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":null,"billing_code":"3274F","description":"PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23335","description":"PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":831.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":977.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":977.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23335","description":"PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":831.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":831.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":977.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":977.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23334","description":"PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":695.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":818.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23334","description":"PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":695.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":818.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC EYE PLASTIC CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2623","description":"PROSTHETIC EYE PLASTIC CUSTOM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1033.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1033.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC EYE PLASTIC CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2623","description":"PROSTHETIC EYE PLASTIC CUSTOM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1033.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1033.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ALYS WSTRN BLOT I AND R IMMUNOLOGICAL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88372","description":"PROTEIN ALYS WSTRN BLOT I AND R IMMUNOLOGICAL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ANAL TISSUE WESTERN BLOT W/INTERP and REPO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88371","description":"PROTEIN ANAL TISSUE WESTERN BLOT W/INTERP and REPO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ELECTROP FXJ AND QUAN OTH FLUS CONCENTRATI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84166","description":"PROTEIN ELECTROP FXJ AND QUAN OTH FLUS CONCENTRATI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84182","description":"PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN WESTRN BLOT I and R BLOOD/OTHER FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84181","description":"PROTEIN WESTRN BLOT I and R BLOOD/OTHER FLUID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTHROMBIN TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85610","description":"PROTHROMBIN TIME","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":671.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":671.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":794.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":935.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":794.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":935.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":820.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":964.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":820.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":820.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":964.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":964.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":632.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":744.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":632.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":744.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":744.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1162.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1162.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1162.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1162.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1224.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1224.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":287.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":338.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1224.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1224.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":287.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":287.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":338.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1011.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1011.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I EXTERNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47533","description":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I EXTERNL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1013.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":249.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I EXTERNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47533","description":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I EXTERNL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1013.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1013.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":249.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":258.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":987.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":987.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":258.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":987.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":987.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92920","description":"PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":271.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":271.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92937","description":"PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":354.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92928","description":"PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":354.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92941","description":"PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":337.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":397.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":216.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":216.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.13,"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":null,"billing_code":"4015F","description":"PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRT COMPLEX CONC KCENTRA PER IU FIX ACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7168","description":"PRT COMPLEX CONC KCENTRA PER IU FIX ACT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRT COMPLEX CONC KCENTRA PER IU FIX ACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7168","description":"PRT COMPLEX CONC KCENTRA PER IU FIX ACT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.8,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":498.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":498.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":452.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":452.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":452.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":516.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":516.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":650.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":650.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":650.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":597.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":597.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":625.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":625.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":716.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":716.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":556.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":556.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PS  and  CE U O DVC/APPL NM ELECT STIM TNG MUSC REM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0490","description":"PS  and  CE U O DVC/APPL NM ELECT STIM TNG MUSC REM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1000.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1000.64,"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":null,"billing_code":"3268F","description":"PSA  AND  TUMOR STAGE AND GLEASON SCORE PRIOR INIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":547.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":574.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":392.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":543.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":451.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":451.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":607.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":268.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":268.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":419.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":419.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC ANXIETY DO MRNA GEN XPRSN PRFL RNA 15 BMRK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0437U","description":"PSYC ANXIETY DO MRNA GEN XPRSN PRFL RNA 15 BMRK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":570.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0345U","description":"PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1002.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1002.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0411U","description":"PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1002.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1002.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC GENOMIC ALYS PNL VRNT ALYS 26 GEN BUCC SWAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0423U","description":"PSYC GENOMIC ALYS PNL VRNT ALYS 26 GEN BUCC SWAB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DIAGNOSTIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90791","description":"PSYCHIATRIC DIAGNOSTIC EVALUATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DIAGNOSTIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90791","description":"PSYCHIATRIC DIAGNOSTIC EVALUATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 EVAL HOSPITAL RECORDS DX PURPOSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90885","description":"PSYCHIATRIC EVAL HOSPITAL RECORDS DX PURPOSES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 EVAL HOSPITAL RECORDS DX PURPOSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90885","description":"PSYCHIATRIC EVAL HOSPITAL RECORDS DX PURPOSES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90845","description":"PSYCHOANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96131","description":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96131","description":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96130","description":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96130","description":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY COMPLEX INTERACTIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90785","description":"PSYCHOTHERAPY COMPLEX INTERACTIVE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY COMPLEX INTERACTIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90785","description":"PSYCHOTHERAPY COMPLEX INTERACTIVE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90840","description":"PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90840","description":"PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90839","description":"PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90839","description":"PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 W/PATIENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90832","description":"PSYCHOTHERAPY W/PATIENT 30 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90832","description":"PSYCHOTHERAPY W/PATIENT 30 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90834","description":"PSYCHOTHERAPY W/PATIENT 45 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90834","description":"PSYCHOTHERAPY W/PATIENT 45 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90837","description":"PSYCHOTHERAPY W/PATIENT 60 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90837","description":"PSYCHOTHERAPY W/PATIENT 60 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90833","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90833","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90836","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 45 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90836","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 45 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90838","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 60 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90838","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 60 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST ELEC PLATFORM AUTO RESULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96146","description":"PSYCL/NRPSYCL TST ELEC PLATFORM AUTO RESULT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST ELEC PLATFORM AUTO RESULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96146","description":"PSYCL/NRPSYCL TST ELEC PLATFORM AUTO RESULT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST PHYS/QHP 2 Plus  TST EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96137","description":"PSYCL/NRPSYCL TST PHYS/QHP 2 Plus  TST EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST PHYS/QHP 2 Plus  TST EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96137","description":"PSYCL/NRPSYCL TST PHYS/QHP 2 Plus  TST EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYL/NRPSYCL TST PHYS/QHP 2 Plus  TST 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96136","description":"PSYL/NRPSYCL TST PHYS/QHP 2 Plus  TST 1ST 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYL/NRPSYCL TST PHYS/QHP 2 Plus  TST 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96136","description":"PSYL/NRPSYCL TST PHYS/QHP 2 Plus  TST 1ST 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.4,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":"M1284","description":"PT 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":"M1284","description":"PT 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ACHV NET INCR PAM SCR AL 3 PTS IN 4-12 MO PAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1347","description":"PT ACHV NET INCR PAM SCR AL 3 PTS IN 4-12 MO PAS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ACHV NET INCR PAM SCR AL 3 PTS IN 4-12 MO PAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1347","description":"PT ACHV NET INCR PAM SCR AL 3 PTS IN 4-12 MO PAS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ACHV NET INCR PAM SCR AL 6 PTS IN 4-12 MO EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1348","description":"PT ACHV NET INCR PAM SCR AL 6 PTS IN 4-12 MO EXC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ACHV NET INCR PAM SCR AL 6 PTS IN 4-12 MO EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1348","description":"PT ACHV NET INCR PAM SCR AL 6 PTS IN 4-12 MO EXC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CLIN IND IMAG HEAD: NEW ON HEADACHE  LT 6 YOA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2193","description":"PT CLIN IND IMAG HEAD: NEW ON HEADACHE  LT 6 YOA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CLIN IND IMAG HEAD: NEW ON HEADACHE  LT 6 YOA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2193","description":"PT CLIN IND IMAG HEAD: NEW ON HEADACHE  LT 6 YOA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 CMPL AL 1 OF 4 PT EXP HU SURVEY ITEMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1252","description":"PT DID NOT CMPL AL 1 OF 4 PT EXP HU SURVEY ITEMS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 CMPL AL 1 OF 4 PT EXP HU SURVEY ITEMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1252","description":"PT DID NOT CMPL AL 1 OF 4 PT EXP HU SURVEY ITEMS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 RESPOND PT FELT PROV UNDRSTD IMP IML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1242","description":"PT DID NOT RESPOND PT FELT PROV UNDRSTD IMP IML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 RESPOND PT FELT PROV UNDRSTD IMP IML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1242","description":"PT DID NOT RESPOND PT FELT PROV UNDRSTD IMP IML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 RSPND TO PT FELT HRD-UNDERSTD BY PROV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1239","description":"PT DID NOT RSPND TO PT FELT HRD-UNDERSTD BY PROV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 RSPND TO PT FELT HRD-UNDERSTD BY PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1239","description":"PT DID NOT RSPND TO PT FELT HRD-UNDERSTD BY PROV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 CONT W/CSP 1 SCR POS HRSNS I 60 D AFT SCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1319","description":"PT DOC CONT W/CSP 1 SCR POS HRSNS I 60 D AFT SCR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 CONT W/CSP 1 SCR POS HRSNS I 60 D AFT SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1319","description":"PT DOC CONT W/CSP 1 SCR POS HRSNS I 60 D AFT SCR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 CMPL SUICIDE SP INIT REV/UPD COLLAB CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1350","description":"PT HAD CMPL SUICIDE SP INIT REV/UPD COLLAB CLIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 CMPL SUICIDE SP INIT REV/UPD COLLAB CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1350","description":"PT HAD CMPL SUICIDE SP INIT REV/UPD COLLAB CLIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 PROXY CMPL ENTR SURV THR BEHALF ANY RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1251","description":"PT HAD PROXY CMPL ENTR SURV THR BEHALF ANY RSN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 PROXY CMPL ENTR SURV THR BEHALF ANY RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1251","description":"PT HAD PROXY CMPL ENTR SURV THR BEHALF ANY RSN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 U NO TC INTERV DUR MSMT PRD/6 MO PRI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1289","description":"PT ID TOB U NO TC INTERV DUR MSMT PRD/6 MO PRI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 U NO TC INTERV DUR MSMT PRD/6 MO PRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1289","description":"PT ID TOB U NO TC INTERV DUR MSMT PRD/6 MO PRI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 U RECV TC INT DUR MSMT PRD/6 MOS PRI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1301","description":"PT ID TOB U RECV TC INT DUR MSMT PRD/6 MOS PRI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 U RECV TC INT DUR MSMT PRD/6 MOS PRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1301","description":"PT ID TOB U RECV TC INT DUR MSMT PRD/6 MOS PRI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IDENT AS UH ALC USR WHEN SCR FOR UH ALC USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2196","description":"PT IDENT AS UH ALC USR WHEN SCR FOR UH ALC USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IDENT AS UH ALC USR WHEN SCR FOR UH ALC USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2196","description":"PT IDENT AS UH ALC USR WHEN SCR FOR UH ALC USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT LIFT MOVEABLE ROOM-ROOM W/DISASSMBL and REASSMBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0639","description":"PT LIFT MOVEABLE ROOM-ROOM W/DISASSMBL and REASSMBL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1110.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1110.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT LIFT MOVEABLE ROOM-ROOM W/DISASSMBL and REASSMBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0639","description":"PT LIFT MOVEABLE ROOM-ROOM W/DISASSMBL and REASSMBL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1110.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1110.88,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 DOC CTC CSP FOR 1 SCR POS HRSNS I 60 D AFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1318","description":"PT NO DOC CTC CSP FOR 1 SCR POS HRSNS I 60 D AFT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 DOC CTC CSP FOR 1 SCR POS HRSNS I 60 D AFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1318","description":"PT NO DOC CTC CSP FOR 1 SCR POS HRSNS I 60 D AFT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 HCV AB/PT RECV HCV AB TST RSLT DOC NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1233","description":"PT NO HCV AB/PT RECV HCV AB TST RSLT DOC NO RSN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 HCV AB/PT RECV HCV AB TST RSLT DOC NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1233","description":"PT NO HCV AB/PT RECV HCV AB TST RSLT DOC NO RSN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 RP PT FELT PROV PUT MY BST INT 1ST REC MC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1240","description":"PT NOT RP PT FELT PROV PUT MY BST INT 1ST REC MC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 RP PT FELT PROV PUT MY BST INT 1ST REC MC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1240","description":"PT NOT RP PT FELT PROV PUT MY BST INT 1ST REC MC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 RP PT FLT PRV SAW ME NOT JUST MED PROB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1241","description":"PT NOT RP PT FLT PRV SAW ME NOT JUST MED PROB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 RP PT FLT PRV SAW ME NOT JUST MED PROB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1241","description":"PT NOT RP PT FLT PRV SAW ME NOT JUST MED PROB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT OBS ON ANY K/ K/P TWL AO LD EA MO DUR MMT PD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1272","description":"PT OBS ON ANY K/ K/P TWL AO LD EA MO DUR MMT PD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT OBS ON ANY K/ K/P TWL AO LD EA MO DUR MMT PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1272","description":"PT OBS ON ANY K/ K/P TWL AO LD EA MO DUR MMT PD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PAM LVL 4 BL/SL RESP PAM/EXCESS MISS RESP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1343","description":"PT PAM LVL 4 BL/SL RESP PAM/EXCESS MISS RESP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PAM LVL 4 BL/SL RESP PAM/EXCESS MISS RESP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1343","description":"PT PAM LVL 4 BL/SL RESP PAM/EXCESS MISS RESP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PO ENC EYE AC PVD 2 WKS B4/2 WKS AFT INI ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1334","description":"PT PO ENC EYE AC PVD 2 WKS B4/2 WKS AFT INI ENC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PO ENC EYE AC PVD 2 WKS B4/2 WKS AFT INI ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1334","description":"PT PO ENC EYE AC PVD 2 WKS B4/2 WKS AFT INI ENC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1035.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1035.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 RE PAIN W/FUNC USING RELIABLE INSTRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1502F","description":"PT QUERIED RE PAIN W/FUNC USING RELIABLE INSTRM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 RE PAIN W/FUNC USING RELIABLE INSTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1502F","description":"PT QUERIED RE PAIN W/FUNC USING RELIABLE INSTRM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCTV HCV AB TST  and  F/U HCV V TST DE HCV VREMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1229","description":"PT RCTV HCV AB TST  and  F/U HCV V TST DE HCV VREMIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCTV HCV AB TST  and  F/U HCV V TST DE HCV VREMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1229","description":"PT RCTV HCV AB TST  and  F/U HCV V TST DE HCV VREMIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCTV HCV AB TST and F/U HCV VT HCV VIREMIA HCV TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1228","description":"PT RCTV HCV AB TST and F/U HCV VT HCV VIREMIA HCV TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCTV HCV AB TST and F/U HCV VT HCV VIREMIA HCV TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1228","description":"PT RCTV HCV AB TST and F/U HCV VT HCV VIREMIA HCV TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCTV HCV AB TST and NO F/U HCV VT/RCTV HCV AB TST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1230","description":"PT RCTV HCV AB TST and NO F/U HCV VT/RCTV HCV AB TST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCTV HCV AB TST and NO F/U HCV VT/RCTV HCV AB TST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1230","description":"PT RCTV HCV AB TST and NO F/U HCV VT/RCTV HCV AB TST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REAC HCV AB TST and F/U HCV V TST NO DE HCV VRMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1234","description":"PT REAC HCV AB TST and F/U HCV V TST NO DE HCV VRMIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REAC HCV AB TST and F/U HCV V TST NO DE HCV VRMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1234","description":"PT REAC HCV AB TST and F/U HCV V TST NO DE HCV VRMIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECEIVED INHALATIONAL ANESTHETIC AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4554F","description":"PT RECEIVED INHALATIONAL ANESTHETIC AGENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECEIVED INHALATIONAL ANESTHETIC AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4554F","description":"PT RECEIVED INHALATIONAL ANESTHETIC AGENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RESP ON PT EXP HU SURV THEY DID NOT RECV CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1253","description":"PT RESP ON PT EXP HU SURV THEY DID NOT RECV CARE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RESP ON PT EXP HU SURV THEY DID NOT RECV CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1253","description":"PT RESP ON PT EXP HU SURV THEY DID NOT RECV CARE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP CMPL TRUE PT FELT HRD  and  UNDRSTOOD BY PROV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1250","description":"PT RP CMPL TRUE PT FELT HRD  and  UNDRSTOOD BY PROV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP CMPL TRUE PT FELT HRD  and  UNDRSTOOD BY PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1250","description":"PT RP CMPL TRUE PT FELT HRD  and  UNDRSTOOD BY PROV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP TRE PT FELT PRV SAW PERS NOT JUST MED PROB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1248","description":"PT RP TRE PT FELT PRV SAW PERS NOT JUST MED PROB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP TRE PT FELT PRV SAW PERS NOT JUST MED PROB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1248","description":"PT RP TRE PT FELT PRV SAW PERS NOT JUST MED PROB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP TRUE PT FELT PROV PUT MY BI 1ST REC ABT MC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1247","description":"PT RP TRUE PT FELT PROV PUT MY BI 1ST REC ABT MC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP TRUE PT FELT PROV PUT MY BI 1ST REC ABT MC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1247","description":"PT RP TRUE PT FELT PROV PUT MY BI 1ST REC ABT MC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP TRUE PT FELT PROV UNDRSTD IMP TO ME IMF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1249","description":"PT RP TRUE PT FELT PROV UNDRSTD IMP TO ME IMF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP TRUE PT FELT PROV UNDRSTD IMP TO ME IMF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1249","description":"PT RP TRUE PT FELT PROV UNDRSTD IMP TO ME IMF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSN NO SCR FD INSEC HSG INSTAB TRANS NDS and IP S","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1237","description":"PT RSN NO SCR FD INSEC HSG INSTAB TRANS NDS and IP S","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSN NO SCR FD INSEC HSG INSTAB TRANS NDS and IP S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1237","description":"PT RSN NO SCR FD INSEC HSG INSTAB TRANS NDS and IP S","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSN VST CLIN NOT PG  and  POS PT NOT EST OB PROV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1255","description":"PT RSN VST CLIN NOT PG  and  POS PT NOT EST OB PROV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSN VST CLIN NOT PG  and  POS PT NOT EST OB PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1255","description":"PT RSN VST CLIN NOT PG  and  POS PT NOT EST OB PROV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP NOT TRUE PT FELT PROV SAW ME NOT MED PROB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1245","description":"PT RSP NOT TRUE PT FELT PROV SAW ME NOT MED PROB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP NOT TRUE PT FELT PROV SAW ME NOT MED PROB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1245","description":"PT RSP NOT TRUE PT FELT PROV SAW ME NOT MED PROB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP NOT TRUE PT FELT PROV UNDERSTOOD IMP IML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1246","description":"PT RSP NOT TRUE PT FELT PROV UNDERSTOOD IMP IML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP NOT TRUE PT FELT PROV UNDERSTOOD IMP IML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1246","description":"PT RSP NOT TRUE PT FELT PROV UNDERSTOOD IMP IML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP NOT TRUE PT FLT PROV PUT MY BI 1ST REC MC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1244","description":"PT RSP NOT TRUE PT FLT PROV PUT MY BI 1ST REC MC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP NOT TRUE PT FLT PROV PUT MY BI 1ST REC MC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1244","description":"PT RSP NOT TRUE PT FLT PROV PUT MY BI 1ST REC MC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP OTH THAN TRUE PT FELT PROV HRD  and  UNDRSTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1243","description":"PT RSP OTH THAN TRUE PT FELT PROV HRD  and  UNDRSTD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP OTH THAN TRUE PT FELT PROV HRD  and  UNDRSTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1243","description":"PT RSP OTH THAN TRUE PT FELT PROV HRD  and  UNDRSTD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SC TOB USE RECV TC INV 6 MO PT MSR PD ID TU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0030","description":"PT SC TOB USE RECV TC INV 6 MO PT MSR PD ID TU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SC TOB USE RECV TC INV 6 MO PT MSR PD ID TU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0030","description":"PT SC TOB USE RECV TC INV 6 MO PT MSR PD ID TU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCR FOOD/HOUS INST TRNSP UTL DIF INT SAFETY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1207","description":"PT SCR FOOD/HOUS INST TRNSP UTL DIF INT SAFETY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCR FOOD/HOUS INST TRNSP UTL DIF INT SAFETY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1207","description":"PT SCR FOOD/HOUS INST TRNSP UTL DIF INT SAFETY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCR TOB USE  and  RCVD TOB CESSAT INT IF TOB USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1310","description":"PT SCR TOB USE  and  RCVD TOB CESSAT INT IF TOB USER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCR TOB USE  and  RCVD TOB CESSAT INT IF TOB USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1310","description":"PT SCR TOB USE  and  RCVD TOB CESSAT INT IF TOB USER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SHOWS 3 PLUS RISK FACTORS POST-OP NAUSEA AND VOMITING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4556F","description":"PT SHOWS 3 PLUS RISK FACTORS POST-OP NAUSEA AND VOMITING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SHOWS 3 PLUS RISK FACTORS POST-OP NAUSEA AND VOMITING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4556F","description":"PT SHOWS 3 PLUS RISK FACTORS POST-OP NAUSEA AND VOMITING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SN I 7 WKS FLW DT INJ and SCR EL IOP DOC INJ EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1322","description":"PT SN I 7 WKS FLW DT INJ and SCR EL IOP DOC INJ EYE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SN I 7 WKS FLW DT INJ and SCR EL IOP DOC INJ EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1322","description":"PT SN I 7 WKS FLW DT INJ and SCR EL IOP DOC INJ EYE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96160","description":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96160","description":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.67,"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":null,"billing_code":"4326F","description":"PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 TRAING FOR INITIATION HOME INR MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93792","description":"PT/CAREGIVER TRAING FOR INITIATION HOME INR MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER TRAING FOR INITIATION HOME INR MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93792","description":"PT/CAREGIVER TRAING FOR INITIATION HOME INR MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTEN GENE ANALYSIS DUPLICATION/DELETION VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81323","description":"PTEN GENE ANALYSIS DUPLICATION/DELETION VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTEN GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81321","description":"PTEN GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":450.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTEN GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81322","description":"PTEN GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.95,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":411.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":484.26,"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":"2022","billing_code":"31040","description":"PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":411.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":411.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":484.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS 66  and  GT  AL 1 CL FRAIL DUR MSMT PRD ADV ILLN DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1292","description":"PTS 66  and  GT  AL 1 CL FRAIL DUR MSMT PRD ADV ILLN DX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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  and  GT  AL 1 CL FRAIL DUR MSMT PRD ADV ILLN DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1292","description":"PTS 66  and  GT  AL 1 CL FRAIL DUR MSMT PRD ADV ILLN DX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 YOA and OLDR 1 CLAIM FRLTY  and  MED FOR DEMENTIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1291","description":"PTS 66 YOA and OLDR 1 CLAIM FRLTY  and  MED FOR DEMENTIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 YOA and OLDR 1 CLAIM FRLTY  and  MED FOR DEMENTIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1291","description":"PTS 66 YOA and OLDR 1 CLAIM FRLTY  and  MED FOR DEMENTIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ACHV NET INCR PAM SCR AL 3 PTS IN 4 TO 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1349","description":"PTS ACHV NET INCR PAM SCR AL 3 PTS IN 4 TO 12 MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ACHV NET INCR PAM SCR AL 3 PTS IN 4 TO 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1349","description":"PTS ACHV NET INCR PAM SCR AL 3 PTS IN 4 TO 12 MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ADM SNF I 1 YR DLYS INIT ACC TO CMS-2728 FRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1273","description":"PTS ADM SNF I 1 YR DLYS INIT ACC TO CMS-2728 FRM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ADM SNF I 1 YR DLYS INIT ACC TO CMS-2728 FRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1273","description":"PTS ADM SNF I 1 YR DLYS INIT ACC TO CMS-2728 FRM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ADM TO SNF DUR MO EVAL WERE EXCL FRM THAT MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1274","description":"PTS ADM TO SNF DUR MO EVAL WERE EXCL FRM THAT MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ADM TO SNF DUR MO EVAL WERE EXCL FRM THAT MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1274","description":"PTS ADM TO SNF DUR MO EVAL WERE EXCL FRM THAT MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 APROP EVAL DUR INI EX  and  RE-EVAL NO NLT 2 WKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1336","description":"PTS APROP EVAL DUR INI EX  and  RE-EVAL NO NLT 2 WKS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 APROP EVAL DUR INI EX  and  RE-EVAL NO NLT 2 WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1336","description":"PTS APROP EVAL DUR INI EX  and  RE-EVAL NO NLT 2 WKS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BL PAM SCR  and  2ND SCR WI 4-12 MO BL PAM SCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1345","description":"PTS BL PAM SCR  and  2ND SCR WI 4-12 MO BL PAM SCR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BL PAM SCR  and  2ND SCR WI 4-12 MO BL PAM SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1345","description":"PTS BL PAM SCR  and  2ND SCR WI 4-12 MO BL PAM SCR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DTRM IN HS EXCL FROM MO EVAL  and  REM REPRT PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1275","description":"PTS DTRM IN HS EXCL FROM MO EVAL  and  REM REPRT PRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DTRM IN HS EXCL FROM MO EVAL  and  REM REPRT PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1275","description":"PTS DTRM IN HS EXCL FROM MO EVAL  and  REM REPRT PRD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 EVAL DUR INI XM and RE-EVAL NLT 8 WKS FRM INI EX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1331","description":"PTS EVAL DUR INI XM and RE-EVAL NLT 8 WKS FRM INI EX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 EVAL DUR INI XM and RE-EVAL NLT 8 WKS FRM INI EX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1331","description":"PTS EVAL DUR INI XM and RE-EVAL NLT 8 WKS FRM INI EX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HAD F/U ASMT 30-180 D AFT IDX ASMT POS IMPRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1339","description":"PTS HAD F/U ASMT 30-180 D AFT IDX ASMT POS IMPRV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HAD F/U ASMT 30-180 D AFT IDX ASMT POS IMPRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1339","description":"PTS HAD F/U ASMT 30-180 D AFT IDX ASMT POS IMPRV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HAD F/U ASMT 30-180 D AFT IX ASMT NO POS IMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1338","description":"PTS HAD F/U ASMT 30-180 D AFT IX ASMT NO POS IMP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HAD F/U ASMT 30-180 D AFT IX ASMT NO POS IMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1338","description":"PTS HAD F/U ASMT 30-180 D AFT IX ASMT NO POS IMP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HAD SUI SP INIT REV/UPD and REV and UPD PT and CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1351","description":"PTS HAD SUI SP INIT REV/UPD and REV and UPD PT and CLIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HAD SUI SP INIT REV/UPD and REV and UPD PT and CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1351","description":"PTS HAD SUI SP INIT REV/UPD and REV and UPD PT and CLIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NO BL PAM SCR A/O 2ND SCR WI 4-12 MO BL PAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1344","description":"PTS NO BL PAM SCR A/O 2ND SCR WI 4-12 MO BL PAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NO BL PAM SCR A/O 2ND SCR WI 4-12 MO BL PAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1344","description":"PTS NO BL PAM SCR A/O 2ND SCR WI 4-12 MO BL PAM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NO CMPL SUI SP INIT REV/UPD COLLAB W/CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1353","description":"PTS NO CMPL SUI SP INIT REV/UPD COLLAB W/CLIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NO CMPL SUI SP INIT REV/UPD COLLAB W/CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1353","description":"PTS NO CMPL SUI SP INIT REV/UPD COLLAB W/CLIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NO EVAL DUR INI EX A/O NOT RE-EVAL WI 2 WKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1332","description":"PTS NO EVAL DUR INI EX A/O NOT RE-EVAL WI 2 WKS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NO EVAL DUR INI EX A/O NOT RE-EVAL WI 2 WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1332","description":"PTS NO EVAL DUR INI EX A/O NOT RE-EVAL WI 2 WKS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NO F/U ASMT/NO ASMT WI 30-180 D AFT IX ASMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1341","description":"PTS NO F/U ASMT/NO ASMT WI 30-180 D AFT IX ASMT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NO F/U ASMT/NO ASMT WI 30-180 D AFT IX ASMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1341","description":"PTS NO F/U ASMT/NO ASMT WI 30-180 D AFT IX ASMT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NO NET INCR PAM SCR AL 6 PTS WI 4 TO 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1346","description":"PTS NO NET INCR PAM SCR AL 6 PTS WI 4 TO 12 MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NO NET INCR PAM SCR AL 6 PTS WI 4 TO 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1346","description":"PTS NO NET INCR PAM SCR AL 6 PTS WI 4 TO 12 MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NO RDUC SID A/O BX F/U ASMT WI 120 D ASSMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1358","description":"PTS NO RDUC SID A/O BX F/U ASMT WI 120 D ASSMNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NO RDUC SID A/O BX F/U ASMT WI 120 D ASSMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1358","description":"PTS NO RDUC SID A/O BX F/U ASMT WI 120 D ASSMNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 EVAL DUR INI EX A/O NOT RE-EVAL WI 8 WKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1327","description":"PTS NOT EVAL DUR INI EX A/O NOT RE-EVAL WI 8 WKS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 EVAL DUR INI EX A/O NOT RE-EVAL WI 8 WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1327","description":"PTS NOT EVAL DUR INI EX A/O NOT RE-EVAL WI 8 WKS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ON K OR K/P TWL AO LD EA MO DUR MMT PD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1270","description":"PTS NOT ON K OR K/P TWL AO LD EA MO DUR MMT PD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ON K OR K/P TWL AO LD EA MO DUR MMT PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1270","description":"PTS NOT ON K OR K/P TWL AO LD EA MO DUR MMT PD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SEEN RSN DOC BY CLIN FOR PATIENT/MED RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1325","description":"PTS NOT SEEN RSN DOC BY CLIN FOR PATIENT/MED RSN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SEEN RSN DOC BY CLIN FOR PATIENT/MED RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1325","description":"PTS NOT SEEN RSN DOC BY CLIN FOR PATIENT/MED RSN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SEEN WI 7 WKS FLW DT OF INJ IOP NOT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1321","description":"PTS NOT SEEN WI 7 WKS FLW DT OF INJ IOP NOT DOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SEEN WI 7 WKS FLW DT OF INJ IOP NOT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1321","description":"PTS NOT SEEN WI 7 WKS FLW DT OF INJ IOP NOT DOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 OBS ACT STS K/K/P TWL AO LD EA MO DUR MMT PD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1268","description":"PTS OBS ACT STS K/K/P TWL AO LD EA MO DUR MMT PD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 OBS ACT STS K/K/P TWL AO LD EA MO DUR MMT PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1268","description":"PTS OBS ACT STS K/K/P TWL AO LD EA MO DUR MMT PD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ON KIDNEY OR K/P WL PRI TO INITIATN DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1261","description":"PTS ON KIDNEY OR K/P WL PRI TO INITIATN DIALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ON KIDNEY OR K/P WL PRI TO INITIATN DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1261","description":"PTS ON KIDNEY OR K/P WL PRI TO INITIATN DIALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PO ENC EYE AC PVD 2 WKS B4/8 WKS AFT INI ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1329","description":"PTS PO ENC EYE AC PVD 2 WKS B4/8 WKS AFT INI ENC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PO ENC EYE AC PVD 2 WKS B4/8 WKS AFT INI ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1329","description":"PTS PO ENC EYE AC PVD 2 WKS B4/8 WKS AFT INI ENC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RED SI A/O BX F/U ASSEMT WI 120 D IDX ASSMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1357","description":"PTS RED SI A/O BX F/U ASSEMT WI 120 D IDX ASSMNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RED SI A/O BX F/U ASSEMT WI 120 D IDX ASSMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1357","description":"PTS RED SI A/O BX F/U ASSEMT WI 120 D IDX ASSMNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SEEN I 7 WKS FLW DT INJ and SCR ELEV IOP and POC DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1323","description":"PTS SEEN I 7 WKS FLW DT INJ and SCR ELEV IOP and POC DOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SEEN I 7 WKS FLW DT INJ and SCR ELEV IOP and POC DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1323","description":"PTS SEEN I 7 WKS FLW DT INJ and SCR ELEV IOP and POC DOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM DS IPF MRNA 190 GENE TRANSBRONCHIAL BX ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81554","description":"PULM DS IPF MRNA 190 GENE TRANSBRONCHIAL BX ALG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4083.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4083.75,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1335.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1335.11,"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":"2022","billing_code":"33910","description":"PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1335.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1335.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":978.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":978.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":978.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":978.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2116.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2116.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2116.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2116.86,"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":null,"billing_code":"3038F","description":"PULMONARY FUNC TEST WITHIN 12 MON PRIOR SURG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94618","description":"PULMONARY STRESS TESTING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94618","description":"PULMONARY STRESS TESTING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.01,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.49,"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":"2022","billing_code":"78582","description":"PULMONARY VENTILATION  AND  PERFUSION IMAGING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":316.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3169.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3169.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":316.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3169.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3169.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11105","description":"PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11105","description":"PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11104","description":"PUNCH BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11104","description":"PUNCH BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":286.9004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":286.9004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":296.7002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":296.7002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":303.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":303.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":400.8108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":400.8108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":286.9004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":286.9004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":296.7002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":296.7002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":303.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":303.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":400.8108,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":400.8108,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.2534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.2534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":223.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":223.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":228.4421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":228.4421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":294.0949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":294.0949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.2534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.2534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":223.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":223.2115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":228.4421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":228.4421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":294.0949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":294.0949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY AM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4196","description":"PURAPLY AM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY AM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4196","description":"PURAPLY AM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4195","description":"PURAPLY PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4195","description":"PURAPLY PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4197","description":"PURAPLY XT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4197","description":"PURAPLY XT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":583.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5838.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5838.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":583.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5838.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5838.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR MODULE PT CABLE ELEC/PNEUMATIC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0477","description":"PWR MODULE PT CABLE ELEC/PNEUMATIC VAD REPL ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":731.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR MODULE PT CABLE ELEC/PNEUMATIC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0477","description":"PWR MODULE PT CABLE ELEC/PNEUMATIC VAD REPL ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":731.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":731.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR PRESS RDUC UNDERLAY/PAD ALTERNATING W/PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0183","description":"PWR PRESS RDUC UNDERLAY/PAD ALTERNATING W/PUMP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR PRESS RDUC UNDERLAY/PAD ALTERNATING W/PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0183","description":"PWR PRESS RDUC UNDERLAY/PAD ALTERNATING W/PUMP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR UE ROM ASST DVC ELB WR HND FNGR SNGL/DBL UPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8702","description":"PWR UE ROM ASST DVC ELB WR HND FNGR SNGL/DBL UPR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53962.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53962.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR UE ROM ASST DVC ELB WR HND WITH SNGL/DBL UPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8701","description":"PWR UE ROM ASST DVC ELB WR HND WITH SNGL/DBL UPR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27427.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27427.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCESS GRP 34 NONSEALED LEAD ACID BATT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2358","description":"PWR WC ACCESS GRP 34 NONSEALED LEAD ACID BATT EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3736.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3736.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3736.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3736.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ATTENDANT CONTROL PROPROTIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2331","description":"PWR WC ACSS ATTENDANT CONTROL PROPROTIONAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":700.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":700.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":418.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":418.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":330.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":330.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1023.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1023.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1023.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1023.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2072.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2072.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2072.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2072.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":526.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":526.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1331.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1331.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1331.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1331.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2130.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2130.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2130.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2130.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3600.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3600.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3600.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3600.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1063.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1063.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1063.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1063.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1198.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1198.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1198.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1198.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":447.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":716.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":537.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1015.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1015.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1015.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1015.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":802.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":802.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":401.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":401.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":326.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3266.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3266.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":326.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3266.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3266.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3651.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3651.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3651.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3651.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":392.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3920.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3920.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":392.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":392.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3920.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3920.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":488.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4884.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4884.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":488.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4884.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4884.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3172.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3172.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3172.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3172.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":362.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3627.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3627.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":362.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":362.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3627.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3627.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":325.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3256.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3256.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":325.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":325.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3256.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3256.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0831","description":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":380.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3800.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3800.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0831","description":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":380.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3800.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3800.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0830","description":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3000.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3000.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0830","description":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3000.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3000.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":354.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3545.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3545.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":354.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3545.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3545.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":401.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4019.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4019.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":401.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4019.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4019.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":472.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4727.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4727.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":472.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4727.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4727.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":716.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7161.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7161.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":716.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":716.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7161.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7161.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":478.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4783.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4783.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":478.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4783.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4783.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":520.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5208.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5208.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":520.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5208.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5208.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":506.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5060.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5060.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":506.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5060.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5060.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":530.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5306.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5306.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":530.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5306.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5306.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":530.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5306.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5306.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":530.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5306.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5306.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":444.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4444.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4444.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":444.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4444.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4444.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":548.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5485.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5485.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":548.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":548.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5485.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5485.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":462.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4621.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4621.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":462.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4621.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4621.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":428.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4283.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4283.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":428.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4283.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4283.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":579.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5795.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5795.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":579.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":579.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5795.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5795.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":383.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3830.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3830.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":383.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3830.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3830.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":625.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6250.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":625.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6250.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":398.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3984.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3984.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":398.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3984.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3984.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":758.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7581.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7581.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":758.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7581.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7581.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":758.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7580.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7580.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":758.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7580.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7580.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":534.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5340.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5340.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":534.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5340.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5340.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":902.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":902.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9021.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9021.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":902.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":902.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9021.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9021.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":726.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7267.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7267.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":726.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":726.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7267.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7267.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":686.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6865.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6865.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":686.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6865.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6865.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 HD 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0879","description":"PWR WC GRP 4 HD 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":583.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5837.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5837.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 HD 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0879","description":"PWR WC GRP 4 HD 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":583.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5837.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5837.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 HD MX PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0886","description":"PWR WC GRP 4 HD MX PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":583.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5837.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5837.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 HD MX PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0886","description":"PWR WC GRP 4 HD MX PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":583.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5837.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5837.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 HVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0870","description":"PWR WC GRP 4 HVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":508.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5084.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5084.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 HVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0870","description":"PWR WC GRP 4 HVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":508.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":508.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5084.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5084.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0878","description":"PWR WC GRP 4 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":471.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4711.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4711.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0878","description":"PWR WC GRP 4 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":471.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4711.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4711.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0877","description":"PWR WC GRP 4 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":470.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4704.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4704.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0877","description":"PWR WC GRP 4 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":470.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4704.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4704.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD CAPTAIN CHAIR PT TO  and   Equal to  300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0869","description":"PWR WC GRP 4 STD CAPTAIN CHAIR PT TO  and   Equal to  300","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":421.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4214.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4214.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD CAPTAIN CHAIR PT TO  and   Equal to  300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0869","description":"PWR WC GRP 4 STD CAPTAIN CHAIR PT TO  and   Equal to  300","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":421.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4214.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4214.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD MX PWR CAPT CHR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0885","description":"PWR WC GRP 4 STD MX PWR CAPT CHR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":607.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6070.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6070.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD MX PWR CAPT CHR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0885","description":"PWR WC GRP 4 STD MX PWR CAPT CHR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":607.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6070.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6070.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0884","description":"PWR WC GRP 4 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":607.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":607.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6070.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6070.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD SLING SEAT PT TO  and   Equal to  300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0868","description":"PWR WC GRP 4 STD SLING SEAT PT TO  and   Equal to  300 LBS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":438.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4382.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4382.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 V HD 1 PWR SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0880","description":"PWR WC GRP 4 V HD 1 PWR SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":556.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5566.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5566.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 V HD 1 PWR SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0880","description":"PWR WC GRP 4 V HD 1 PWR SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":556.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5566.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5566.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 V HVY DUTY SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0871","description":"PWR WC GRP 4 V HVY DUTY SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":488.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4888.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4888.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 V HVY DUTY SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0871","description":"PWR WC GRP 4 V HVY DUTY SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":488.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4888.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4888.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 5 PED 1 PWR SLING SEAT PT TO  and  Equal to 125","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0890","description":"PWR WC GRP 5 PED 1 PWR SLING SEAT PT TO  and  Equal to 125","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":727.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7272.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7272.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 5 PED 1 PWR SLING SEAT PT TO  and  Equal to 125","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0890","description":"PWR WC GRP 5 PED 1 PWR SLING SEAT PT TO  and  Equal to 125","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":727.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7272.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7272.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO  and  Equal to 125","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0891","description":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO  and  Equal to 125","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":750.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7500.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7500.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO  and  Equal to 125","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0891","description":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO  and  Equal to 125","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":750.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7500.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7500.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":614.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":614.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":855.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":855.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":445.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":445.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Physical Therapy Visit","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Z8003","description":"Physical Therapy Visit","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.22,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.44,"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":null,"billing_code":"1460F","description":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALITY CARE FOR THE TX OF ENT D/O MIPS VAL PATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1367","description":"QUALITY CARE FOR THE TX OF ENT D/O MIPS VAL PATH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALITY CARE FOR THE TX OF ENT D/O MIPS VAL PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1367","description":"QUALITY CARE FOR THE TX OF ENT D/O MIPS VAL PATH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALITY CARE IN MH  and  SUBST USE D/O MIPS VAL PATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1369","description":"QUALITY CARE IN MH  and  SUBST USE D/O MIPS VAL PATH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALITY CARE IN MH  and  SUBST USE D/O MIPS VAL PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1369","description":"QUALITY CARE IN MH  and  SUBST USE D/O MIPS VAL PATH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN and CHARAC C ATHEROSCLEROTC PLAQ ASSES SEV C DS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75577","description":"QUAN and CHARAC C ATHEROSCLEROTC PLAQ ASSES SEV C DS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":673.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN and CHARAC C ATHEROSCLEROTC PLAQ ASSES SEV C DS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75577","description":"QUAN and CHARAC C ATHEROSCLEROTC PLAQ ASSES SEV C DS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":673.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.79,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.41,"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":"2022","billing_code":"78598","description":"QUANT DIFF PULM PRFUSION  and  VENTLAJ W/WO IMAGIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":133.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":133.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.8,"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":null,"billing_code":"3394F","description":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANTITATIVE PUPILLOMETRY PHYS/QHP I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95919","description":"QUANTITATIVE PUPILLOMETRY PHYS/QHP I and R UNI/BI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANTITATIVE PUPILLOMETRY PHYS/QHP I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95919","description":"QUANTITATIVE PUPILLOMETRY PHYS/QHP I and R UNI/BI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":232.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":431.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":664.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":232.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":431.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":431.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":664.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":183.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":429.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":613.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":183.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":429.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":429.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":613.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1282.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1282.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1282.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1282.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":219.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":512.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":732.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":219.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":512.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":512.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":732.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":732.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IG HEAT and SOLVENT/DETERGENT HUMAN IM and /SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90377","description":"RABIES IG HEAT and SOLVENT/DETERGENT HUMAN IM and /SUBQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES IG HEAT and SOLVENT/DETERGENT HUMAN IM and /SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90377","description":"RABIES IG HEAT and SOLVENT/DETERGENT HUMAN IM and /SUBQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":479.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":479.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":479.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":279.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":279.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":315.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":315.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1327.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1327.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1327.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1327.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":320.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":320.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":320.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":320.0,"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":null,"billing_code":"0520F","description":"RAD DOSE LIMTS EST PRIOR3D RAD FOR MIN 2 TIS/ORG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":502.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":502.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":502.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":802.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":802.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":802.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":750.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":750.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":750.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":358.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":358.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":358.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":602.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":602.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":618.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":727.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":618.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":618.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":727.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":837.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":837.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":837.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.79,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.72,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.71,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.92,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.41,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.23,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.33,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.33,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.8,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.8,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.91,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.91,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.18,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.18,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.43,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.43,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.41,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.25,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.43,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":817.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":817.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":651.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":651.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":651.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":992.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":903.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":903.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":903.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":903.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":992.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":992.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":992.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":904.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":904.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":904.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":904.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64625","description":"RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":382.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64625","description":"RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":382.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":382.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.92,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.32,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.56,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.3,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIUM RA-223 DICHLORIDE THERAPEUTIC PER UCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9606","description":"RADIUM RA-223 DICHLORIDE THERAPEUTIC PER UCI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIUM RA-223 DICHLORIDE THERAPEUTIC PER UCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9606","description":"RADIUM RA-223 DICHLORIDE THERAPEUTIC PER UCI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAISED TOILET SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0244","description":"RAISED TOILET SEAT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAMPART DL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4347","description":"RAMPART DL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAMPART DL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4347","description":"RAMPART DL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS RPD WHL GEN CMPTR DNA SEQ VRNTS PROBAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0583U","description":"RARE DS RPD WHL GEN CMPTR DNA SEQ VRNTS PROBAND","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2843.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2843.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS RPD WHL GEN DNA SEQ SNVS INDELS VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0582U","description":"RARE DS RPD WHL GEN DNA SEQ SNVS INDELS VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5686.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5686.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS WHL GEN and MITOCHDRL DNA SEQ ALYS EA CMPRTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0213U","description":"RARE DS WHL GEN and MITOCHDRL DNA SEQ ALYS EA CMPRTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2032.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2032.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS WHL GEN and MITOCHDRL DNA SEQ ALYS PROBAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0212U","description":"RARE DS WHL GEN and MITOCHDRL DNA SEQ ALYS PROBAND","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4106.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4106.4,"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":null,"billing_code":"G9840","description":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.47,"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":null,"billing_code":"6005F","description":"RATIONALE FOR LEVEL OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN I and R ONLY 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96933","description":"RCM CELL and SUBCELL IMG SKN I and R ONLY 1ST LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN I and R ONLY 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96933","description":"RCM CELL and SUBCELL IMG SKN I and R ONLY 1ST LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN I and R ONLY EA ADDL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96936","description":"RCM CELL and SUBCELL IMG SKN I and R ONLY EA ADDL LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN I and R ONLY EA ADDL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96936","description":"RCM CELL and SUBCELL IMG SKN I and R ONLY EA ADDL LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQ I and R EACH ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96934","description":"RCM CELL and SUBCELL IMG SKN IMG ACQ I and R EACH ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.7159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.7159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.4887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.4887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":74.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":74.9316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQ I and R EACH ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96934","description":"RCM CELL and SUBCELL IMG SKN IMG ACQ I and R EACH ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.7159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.7159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.4887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.4887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":74.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":74.9316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY 1ST LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96932","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY 1ST LES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY 1ST LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96932","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY 1ST LES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96935","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96935","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUISJ and I and R 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96931","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUISJ and I and R 1ST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":90.1824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":90.1824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.3047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.3047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.2286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.2286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUISJ and I and R 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96931","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUISJ and I and R 1ST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":90.1824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":90.1824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.3047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.3047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.2286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.2286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELULR  AND  SUBCELULR SKN IMGNG I AND R 1ST LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96933","description":"RCM CELULR  AND  SUBCELULR SKN IMGNG I AND R 1ST LES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELULR  AND  SUBCELULR SKN IMGNG I AND R EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96936","description":"RCM CELULR  AND  SUBCELULR SKN IMGNG I AND R EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELULR  AND  SUBCELULR SKN IMGNG IMG ACQ EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96935","description":"RCM CELULR  AND  SUBCELULR SKN IMGNG IMG ACQ EA ADDL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELULR  AND  SUBCELULR SKN IMGNG IMG ACQ I AND R 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96931","description":"RCM CELULR  AND  SUBCELULR SKN IMGNG IMG ACQ I AND R 1ST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":90.1824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":90.1824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.3047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.3047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.2286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.2286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELULR  AND  SUBCELULR SKN IMGNG IMG ACQ I AND R ADD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96934","description":"RCM CELULR  AND  SUBCELULR SKN IMGNG IMG ACQ I AND R ADD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.7159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.7159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.4887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.4887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":74.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":74.9316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELULR  AND  SUBCELULR SKN IMGNG IMG ACQUISITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96932","description":"RCM CELULR  AND  SUBCELULR SKN IMGNG IMG ACQUISITION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1626.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1626.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1626.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1626.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":412.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":485.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":412.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":412.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":485.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1103.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1235.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1235.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1235.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1235.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1235.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1235.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1103.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1103.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1103.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1021.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1021.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":646.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":760.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1021.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1021.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":646.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":646.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":760.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":406.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":478.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":668.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":406.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":478.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":478.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":668.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1101.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1101.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1101.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1101.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":740.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":740.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":957.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":957.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":957.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":898.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":898.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":898.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":993.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":993.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":993.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":993.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":934.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":934.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":934.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":990.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":990.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":990.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":970.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":970.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":970.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":970.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1177.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1177.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1177.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1177.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1300.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1300.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1300.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1300.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2109.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2109.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2109.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2109.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1956.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1956.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1956.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1956.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1578.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1578.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1578.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1578.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1485.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1485.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1485.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1485.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":704.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":704.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":604.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":604.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":604.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":469.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":660.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":469.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":660.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":660.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1219.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1219.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1219.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1219.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":968.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":968.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":968.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":827.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":827.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":827.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":922.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":922.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":922.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":922.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":840.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":840.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":840.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1735.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1735.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1735.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1735.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1781.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1781.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1781.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1781.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1599.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1599.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1599.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1599.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1346.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1346.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1346.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1346.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":286.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":454.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":286.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":454.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":329.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":329.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":965.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":965.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1420.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1420.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1420.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1420.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1029.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1029.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1029.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":665.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":665.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":594.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":594.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":547.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":547.25,"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":null,"billing_code":"G8578","description":"RE-EXPL NOT REQ MLN BLD CA INT VD/OTH CARD RSN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REBOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4296","description":"REBOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REBOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4296","description":"REBOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIPT  AND  ANALYSIS REMOTE ASYNC IMAGES 10-20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9869","description":"RECEIPT  AND  ANALYSIS REMOTE ASYNC IMAGES 10-20 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIPT  AND  ANALYSIS REMOTE ASYNC IMAGES 10-20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9869","description":"RECEIPT  AND  ANALYSIS REMOTE ASYNC IMAGES 10-20 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIPT  and  ANALYSIS REMOTE ASYNC IMAGES 20 OR GT  MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9870","description":"RECEIPT  and  ANALYSIS REMOTE ASYNC IMAGES 20 OR GT  MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIPT  and  ANALYSIS REMOTE ASYNC IMAGES 20 OR GT  MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9870","description":"RECEIPT  and  ANALYSIS REMOTE ASYNC IMAGES 20 OR GT  MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIPT  and  ANALYSIS REMT ASYNC IMAGES  LT 10 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9868","description":"RECEIPT  and  ANALYSIS REMT ASYNC IMAGES  LT 10 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIPT  and  ANALYSIS REMT ASYNC IMAGES  LT 10 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9868","description":"RECEIPT  and  ANALYSIS REMT ASYNC IMAGES  LT 10 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"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":null,"billing_code":"G9497","description":"RECEIVED INSTR ANES/PROXY ABSTAIN SMOKING DAY SX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVER MON; EXT INTERSTITIAL CONT GLU MON SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9278","description":"RECEIVER MON; EXT INTERSTITIAL CONT GLU MON SYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":522.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVER; EXT USE NONDME INTRSTL SYSTEM CGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9278","description":"RECEIVER; EXT USE NONDME INTRSTL SYSTEM CGM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":522.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVER; EXT USE NONDME INTRSTL SYSTEM CGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9278","description":"RECEIVER; EXT USE NONDME INTRSTL SYSTEM CGM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":522.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVING ESRD MCP DLYS SRVC BY PROV LD REP MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1269","description":"RECEIVING ESRD MCP DLYS SRVC BY PROV LD REP MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVING ESRD MCP DLYS SRVC BY PROV LD REP MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1269","description":"RECEIVING ESRD MCP DLYS SRVC BY PROV LD REP MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEPTOR SOLE FOR USE W/ L8720 REPLACEMENT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8721","description":"RECEPTOR SOLE FOR USE W/ L8720 REPLACEMENT EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2627.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2627.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2627.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2627.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":911.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":911.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":911.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":759.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":759.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":759.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1227.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1227.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1227.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL CNTRL SYS VAG INSRT LT USE ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4563","description":"RECTAL CNTRL SYS VAG INSRT LT USE ANY TYPE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1318.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1318.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL CNTRL SYS VAG INSRT LT USE ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4563","description":"RECTAL CNTRL SYS VAG INSRT LT USE ANY TYPE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1318.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1318.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL SENSATION TONE and COMPLIANCE STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91124","description":"RECTAL SENSATION TONE and COMPLIANCE STUDY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":455.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL SENSATION TONE and COMPLIANCE STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91124","description":"RECTAL SENSATION TONE and COMPLIANCE STUDY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":455.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":481.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":481.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":765.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":765.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2626","description":"REDUCTION OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":255.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2626","description":"REDUCTION OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":255.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REEVA FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4314","description":"REEVA FT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REEVA FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4314","description":"REEVA FT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REEXPL PEL WND W/RMVL PREPERITONEAL PEL PACKING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49014","description":"REEXPL PEL WND W/RMVL PREPERITONEAL PEL PACKING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":252.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":297.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REEXPL PEL WND W/RMVL PREPERITONEAL PEL PACKING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49014","description":"REEXPL PEL WND W/RMVL PREPERITONEAL PEL PACKING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":252.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":297.04,"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":null,"billing_code":"G8858","description":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 KIT FOR IMPLANTABLE INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4220","description":"REFILL KIT FOR IMPLANTABLE INFUSION PUMP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILL KIT FOR IMPLANTABLE INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4220","description":"REFILL KIT FOR IMPLANTABLE INFUSION PUMP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGENELINK AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4315","description":"REGENELINK AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGENELINK AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4315","description":"REGENELINK AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGUARD FOR TOPICAL USE ONLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4255","description":"REGUARD FOR TOPICAL USE ONLY PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGUARD FOR TOPICAL USE ONLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4255","description":"REGUARD FOR TOPICAL USE ONLY PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1353","description":"REGULATOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REHAB SYS INTERACT INTF PROV ACTV ASST RHB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0739","description":"REHAB SYS INTERACT INTF PROV ACTV ASST RHB TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1253.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1253.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12530.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12530.6,"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":null,"billing_code":"4400F","description":"REHAB THERAPY OPTIONS DISCUSSED W/PATIENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REHABILITATIVE SPT FOR MSK CARE MIPS VALUE PATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1370","description":"REHABILITATIVE SPT FOR MSK CARE MIPS VALUE PATH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REHABILITATIVE SPT FOR MSK CARE MIPS VALUE PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1370","description":"REHABILITATIVE SPT FOR MSK CARE MIPS VALUE PATH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1444.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1444.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1444.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELESE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4257","description":"RELESE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELESE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4257","description":"RELESE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":285.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":336.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":285.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":336.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":336.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":282.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":282.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99454","description":"REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99453","description":"REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99453","description":"REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 16-30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99454","description":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 16-30 DAYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 16-30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99454","description":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 16-30 DAYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 2-15 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99445","description":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 2-15 DAYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 2-15 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99445","description":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 2-15 DAYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM THER MNTR DEV SPLY DATA MUSCSKEL SYS EA 30 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98977","description":"REM THER MNTR DEV SPLY DATA MUSCSKEL SYS EA 30 D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM THER MNTR DEV SPLY DATA RESPIR SYS EA 30 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98976","description":"REM THER MNTR DEV SPLY DATA RESPIR SYS EA 30 D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE EVAL RECORDED VIDEO  and / IMAGES SB ESTAB PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2010","description":"REMOTE EVAL RECORDED VIDEO  and / IMAGES SB ESTAB PT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE EVAL RECORDED VIDEO  and / IMAGES SB ESTAB PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2010","description":"REMOTE EVAL RECORDED VIDEO  and / IMAGES SB ESTAB PT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 20 MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9482","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 20 MN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 20 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9482","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 20 MN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 30 MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9483","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 30 MN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 30 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9483","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 30 MN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 45 MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9484","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 45 MN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 45 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9484","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 45 MN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 60 MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9485","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 60 MN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":60.1216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":60.1216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.8332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.8332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 60 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9485","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 60 MN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":60.1216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":60.1216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.8332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.8332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 10 MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9486","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 10 MN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 10 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9486","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 10 MN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 15 MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9487","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 15 MN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 15 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9487","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 15 MN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 25 MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9488","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 25 MN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 25 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9488","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 25 MN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 40 MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9489","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 40 MN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 40 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9489","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 40 MN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF NEW PT;TYP 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9481","description":"REMOTE IN-HOME VST FOR E/M OF NEW PT;TYP 10 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF NEW PT;TYP 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9481","description":"REMOTE IN-HOME VST FOR E/M OF NEW PT;TYP 10 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93264","description":"REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93264","description":"REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE PHYSIOLOGIC MONITORING 1ST 20 MIN MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99457","description":"REMOTE PHYSIOLOGIC MONITORING 1ST 20 MIN MONTH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE PHYSIOLOGIC MONITORING EA ADDL 20 MIN MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99458","description":"REMOTE PHYSIOLOGIC MONITORING EA ADDL 20 MIN MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE THER MNTR TX MGMT PHYS/QHP 1ST 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98980","description":"REMOTE THER MNTR TX MGMT PHYS/QHP 1ST 20 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE THER MNTR TX MGMT PHYS/QHP EA ADDL 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98981","description":"REMOTE THER MNTR TX MGMT PHYS/QHP EA ADDL 20 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE THERAPEUTIC MNTR 1ST SET-UP and PT EDUCAJ EQP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98975","description":"REMOTE THERAPEUTIC MNTR 1ST SET-UP and PT EDUCAJ EQP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BAT MODULATION SYSTEM LEAD ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64658","description":"REMOVAL BAT MODULATION SYSTEM LEAD ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":318.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":374.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BAT MODULATION SYSTEM LEAD ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64658","description":"REMOVAL BAT MODULATION SYSTEM LEAD ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":318.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":374.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":374.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BAT MODULATION SYSTEM PG ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64659","description":"REMOVAL BAT MODULATION SYSTEM PG ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":294.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":346.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BAT MODULATION SYSTEM PG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64659","description":"REMOVAL BAT MODULATION SYSTEM PG ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":294.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":346.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BAT MODULATION SYSTEM TOTAL SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64657","description":"REMOVAL BAT MODULATION SYSTEM TOTAL SYSTEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":422.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":497.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BAT MODULATION SYSTEM TOTAL SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64657","description":"REMOVAL BAT MODULATION SYSTEM TOTAL SYSTEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":422.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":497.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47537","description":"REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS AND I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":321.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47537","description":"REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS AND I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":321.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":285.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":285.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL DEEP DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20701","description":"REMOVAL DEEP DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL DEEP DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20701","description":"REMOVAL DEEP DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP LT 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69727","description":"REMOVAL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP LT 100","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":308.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":363.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP LT 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69727","description":"REMOVAL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP LT 100","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":308.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":308.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":363.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ENTIRE OI IMPLT SKL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69726","description":"REMOVAL ENTIRE OI IMPLT SKL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":269.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":316.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ENTIRE OI IMPLT SKL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69726","description":"REMOVAL ENTIRE OI IMPLT SKL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":269.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":316.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":316.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":221.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":221.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.2275,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG and RESPIR SNR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64584","description":"REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG and RESPIR SNR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":438.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":515.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG and RESPIR SNR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64584","description":"REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG and RESPIR SNR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":438.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":515.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69209","description":"REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69209","description":"REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":214.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":214.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20705","description":"REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20705","description":"REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20703","description":"REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20703","description":"REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":438.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":515.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":438.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":515.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":515.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1814.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1814.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1814.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1814.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1649.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1649.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1649.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1649.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":293.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":345.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL NON-BIODEGRADABLE DRUG DEL IMPLANTS 4 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0517","description":"REMOVAL NON-BIODEGRADABLE DRUG DEL IMPLANTS 4 OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.9174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.9174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL NON-BIODEGRADABLE DRUG DEL IMPLANTS 4 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0517","description":"REMOVAL NON-BIODEGRADABLE DRUG DEL IMPLANTS 4 OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.3452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.2691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.9174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.9174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1140.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1140.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1140.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1140.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERCUTANEOUS VAD DIFFERENT SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33992","description":"REMOVAL PERCUTANEOUS VAD DIFFERENT SESSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERQ LEFT HRT VAD ARTL/ARTL and VEN SEP INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33992","description":"REMOVAL PERQ LEFT HRT VAD ARTL/ARTL and VEN SEP INSJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERQ LEFT HRT VAD ARTL/ARTL and VEN SEP INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33992","description":"REMOVAL PERQ LEFT HRT VAD ARTL/ARTL and VEN SEP INSJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PHRENIC NERVE STIMULATOR SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33278","description":"REMOVAL PHRENIC NERVE STIMULATOR SYSTEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":369.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":434.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PHRENIC NERVE STIMULATOR SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33278","description":"REMOVAL PHRENIC NERVE STIMULATOR SYSTEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":369.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":434.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA EA 10","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11201","description":"REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA EA 10","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SKULL-MNTD CRANIAL NSTIM PG/RCVR W/CRNOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61892","description":"REMOVAL SKULL-MNTD CRANIAL NSTIM PG/RCVR W/CRNOP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":537.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":632.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SKULL-MNTD CRANIAL NSTIM PG/RCVR W/CRNOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61892","description":"REMOVAL SKULL-MNTD CRANIAL NSTIM PG/RCVR W/CRNOP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":537.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":632.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33286","description":"REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33286","description":"REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES and STAPLES NOT REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15854","description":"REMOVAL SUTURES and STAPLES NOT REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES and STAPLES NOT REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15854","description":"REMOVAL SUTURES and STAPLES NOT REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15853","description":"REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15853","description":"REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":281.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":281.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":281.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":901.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":901.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":901.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1009.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1009.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1009.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV REINS NON-BIODEGRADABLE DRUG DEL IMPL 4 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0518","description":"REMV REINS NON-BIODEGRADABLE DRUG DEL IMPL 4 OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":165.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":165.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":167.0179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":167.0179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":169.9037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":169.9037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":235.3761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":235.3761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV REINS NON-BIODEGRADABLE DRUG DEL IMPL 4 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0518","description":"REMV REINS NON-BIODEGRADABLE DRUG DEL IMPL 4 OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":165.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":165.3345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":167.0179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":167.0179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":169.9037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":169.9037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":235.3761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":235.3761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENATI AC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4436","description":"RENATI AC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RENATI AC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4436","description":"RENATI AC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RENATI MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4435","description":"RENATI MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RENATI MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4435","description":"RENATI MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RENEW FT MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4378","description":"RENEW FT MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENEW FT MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4378","description":"RENEW FT MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4321","description":"RENOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2073.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2073.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2073.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2073.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1266.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1266.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1266.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1266.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":406.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":406.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":613.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":613.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":613.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":219.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":219.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":219.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":263.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":366.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":263.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":366.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":366.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":235.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":349.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":235.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":349.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":235.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":235.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":276.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":276.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":319.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":319.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":285.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":285.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":211.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":211.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":197.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":197.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":173.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":173.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":324.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":324.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":324.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ISOLATED PARTIAL PULM VENOUS RETURN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33724","description":"REPAIR ISOLATED PARTIAL PULM VENOUS RETURN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":976.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ISOLATED PARTIAL PULM VENOUS RETURN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33724","description":"REPAIR ISOLATED PARTIAL PULM VENOUS RETURN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":976.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":976.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":652.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":652.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":489.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":489.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":326.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":383.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":326.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":383.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":536.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":630.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":536.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":536.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":630.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ORTHOTIC DEVC LABOR COMPONENT PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4205","description":"REPAIR ORTHOTIC DEVC LABOR COMPONENT PER 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ORTHOTIC DEVC REPAIR/REPLACE MINOR PARTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4210","description":"REPAIR ORTHOTIC DEVC REPAIR/REPLACE MINOR PARTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":869.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":869.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":869.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":869.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":869.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":869.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1128.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1128.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1128.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1128.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":927.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":927.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":927.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":927.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":584.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":584.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":629.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":629.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":629.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":769.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":769.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":769.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":510.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":510.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PROSTHETIC DEVICE LABOR CMPNT PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7520","description":"REPAIR PROSTHETIC DEVICE LABOR CMPNT PER 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PULMONARY VENOUS STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33726","description":"REPAIR PULMONARY VENOUS STENOSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1288.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1288.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PULMONARY VENOUS STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33726","description":"REPAIR PULMONARY VENOUS STENOSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1288.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1288.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":386.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":386.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":854.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":854.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":428.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":428.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":428.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR and REFITTING SPECTACLE PROSTH FOR APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92371","description":"REPAIR and REFITTING SPECTACLE PROSTH FOR APHAKIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR and REFITTING SPECTACLE PROSTH FOR APHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92371","description":"REPAIR and REFITTING SPECTACLE PROSTH FOR APHAKIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR/MOD AUGMENTATIV COMMUNICAT SYSTEM/DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5336","description":"REPAIR/MOD AUGMENTATIV COMMUNICAT SYSTEM/DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR/MOD AUGMENTATIV COMMUNICAT SYSTEM/DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5336","description":"REPAIR/MOD AUGMENTATIV COMMUNICAT SYSTEM/DEVICE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR/MODIFICATION OF A HEARING AID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5014","description":"REPAIR/MODIFICATION OF A HEARING AID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR/MODIFICATION OF A HEARING AID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5014","description":"REPAIR/MODIFICATION OF A HEARING AID","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV  and  MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90869","description":"REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV  and  MN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV  and  MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90869","description":"REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV  and  MN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"REPL BA EXT INFUS PUMP OWND PATIENT LI 1.5 V EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4602","description":"REPL BA EXT INFUS PUMP OWND PATIENT LI 1.5 V EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BA EXT INFUS PUMP OWND PATIENT LI 1.5 V EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4602","description":"REPL BA EXT INFUS PUMP OWND PATIENT LI 1.5 V EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2688.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2688.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1967.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1967.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4077.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4077.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3104.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3104.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33369","description":"REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":638.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":751.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33369","description":"REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":638.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":638.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":751.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33363","description":"REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1086.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":923.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":923.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33363","description":"REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1086.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1086.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":923.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":923.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33364","description":"REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1154.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1154.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":981.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":981.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33364","description":"REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1154.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1154.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":981.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":981.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33365","description":"REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1080.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1080.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1270.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33365","description":"REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1080.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1080.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1080.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1270.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1270.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33362","description":"REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1048.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1048.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":891.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33362","description":"REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1048.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1048.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":891.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":891.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33361","description":"REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":814.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":815.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":958.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":958.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33361","description":"REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":814.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":815.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":958.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":958.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33368","description":"REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":483.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":569.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33368","description":"REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":483.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":483.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":569.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":569.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33367","description":"REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":399.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":469.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33367","description":"REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":399.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":399.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":469.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":469.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":844.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":211.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":159.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":159.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":306.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":183.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":616.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":616.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":391.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":513.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":513.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2132.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2132.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2132.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2132.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2082.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2082.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2082.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2082.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1890.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1890.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1890.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1890.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1712.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1712.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1712.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1712.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2502.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2502.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":306.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":360.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":306.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":360.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":306.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":360.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1735.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1735.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1735.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1735.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2094.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2094.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2094.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2094.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2142.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2142.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2142.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2142.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2616.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2616.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2616.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2616.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3169.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3169.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3169.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3169.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3070.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3070.16,"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":null,"billing_code":"3570F","description":"REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33273","description":"REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33273","description":"REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.9225,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITION VAD W/IMAGING DIFFERENT SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33993","description":"REPOSITION VAD W/IMAGING DIFFERENT SESSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":373.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":439.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":373.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":439.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":439.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33993","description":"REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33993","description":"REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":130.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":130.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33281","description":"REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33281","description":"REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPR PROSTHETIC DEVICE REPR/REPLACE MINOR PARTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7510","description":"REPR PROSTHETIC DEVICE REPR/REPLACE MINOR PARTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPR/SRVC DME NOT O2 RQR TECH CMPNT PER 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0739","description":"REPR/SRVC DME NOT O2 RQR TECH CMPNT PER 15 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPR/SRVC FOR O2 EQP RQR TECH CMPNT PER 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0740","description":"REPR/SRVC FOR O2 EQP RQR TECH CMPNT PER 15 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPRIZA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4143","description":"REPRIZA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPRIZA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4143","description":"REPRIZA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1576.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1576.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1576.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1576.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1312.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1312.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1312.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1312.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":524.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":524.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":232.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":232.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1017.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1017.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":884.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":884.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":884.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":690.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":690.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":854.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":854.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":854.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1618.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1618.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1618.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1618.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":243.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":243.15,"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":null,"billing_code":"G8663","description":"RESIDUAL SC SHOULDER IMPR SUC CALCU  and  SC  Equal to 0 O","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESOLVE MATRIX OR XENOPATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2024","description":"RESOLVE MATRIX OR XENOPATCH PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESOLVE MATRIX OR XENOPATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2024","description":"RESOLVE MATRIX OR XENOPATCH PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":320.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":320.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":320.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":190.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1900.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1900.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":190.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1900.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1900.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":398.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":398.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":307.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":307.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":307.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90378","description":"RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1359.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1359.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90378","description":"RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1359.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1359.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTORIGIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4191","description":"RESTORIGIN PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTORIGIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4191","description":"RESTORIGIN PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTRATA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2007","description":"RESTRATA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTRATA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2007","description":"RESTRATA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVAKINAGENE TARORETCEL-LWEY PER IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3403","description":"REVAKINAGENE TARORETCEL-LWEY PER IMPLANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":265000.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265000.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVAKINAGENE TARORETCEL-LWEY PER IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3403","description":"REVAKINAGENE TARORETCEL-LWEY PER IMPLANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":265000.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265000.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVEFENACIN INHAL SOL NONCOMPND ADM DME 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7677","description":"REVEFENACIN INHAL SOL NONCOMPND ADM DME 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVEFENACIN INHAL SOL NONCOMPND ADM DME 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7677","description":"REVEFENACIN INHAL SOL NONCOMPND ADM DME 1 MCG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIS SHOULDER ARTHRPLSTY HUMERAL AND GLENOID COMPNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23474","description":"REVIS SHOULDER ARTHRPLSTY HUMERAL AND GLENOID COMPNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1294.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1294.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIS SHOULDER ARTHRPLSTY HUMERAL AND GLENOID COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23474","description":"REVIS SHOULDER ARTHRPLSTY HUMERAL AND GLENOID COMPNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1294.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1294.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23473","description":"REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1197.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23473","description":"REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1197.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1197.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":445.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":445.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":347.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":409.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":347.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":409.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":445.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":160.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":160.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RPLCMT BAT MODULATION SYSTEM LEAD ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64655","description":"REVISION/RPLCMT BAT MODULATION SYSTEM LEAD ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":427.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":503.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RPLCMT BAT MODULATION SYSTEM LEAD ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64655","description":"REVISION/RPLCMT BAT MODULATION SYSTEM LEAD ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":427.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":503.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RPLCMT BAT MODULATION SYSTEM PG ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64656","description":"REVISION/RPLCMT BAT MODULATION SYSTEM PG ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":285.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RPLCMT BAT MODULATION SYSTEM PG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64656","description":"REVISION/RPLCMT BAT MODULATION SYSTEM PG ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":285.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":285.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":335.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":335.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVITA PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4180","description":"REVITA PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVITA PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4180","description":"REVITA PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIVAL AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4437","description":"REVIVAL AC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVIVAL AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4437","description":"REVIVAL AC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVIVE FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4424","description":"REVIVE FT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVIVE FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4424","description":"REVIVE FT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVIVE TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4425","description":"REVIVE TL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"REVIVE TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4425","description":"REVIVE TL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":565.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":565.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":565.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":632.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":632.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":632.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1042.0079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1042.0079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1043.4508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1043.4508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1072.6098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1072.6098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1172.8726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1172.8726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1192.0714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1192.0714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1289.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1289.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1324.7398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1324.7398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1462.8592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1462.8592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":224.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":224.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.5187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.5187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":254.0339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":254.0339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.2467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.2467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":854.9294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":854.9294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":929.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":929.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":955.6933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":955.6933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":961.4649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":961.4649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ RPLCMT/RMVL THORACIC VRT BODY TETHERING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22838","description":"REVJ RPLCMT/RMVL THORACIC VRT BODY TETHERING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1244.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1244.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1463.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1463.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ RPLCMT/RMVL THORACIC VRT BODY TETHERING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22838","description":"REVJ RPLCMT/RMVL THORACIC VRT BODY TETHERING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1244.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1244.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1463.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1463.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1441.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1441.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1441.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1441.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1042.0079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1042.0079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1043.4508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1043.4508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1072.6098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1072.6098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1172.8726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1172.8726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1192.0714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1192.0714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1289.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1289.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1324.7398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1324.7398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1462.8592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1462.8592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":224.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":224.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.5187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.5187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":254.0339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":254.0339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.2467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.2467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":854.9294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":854.9294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":929.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":929.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":955.6933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":955.6933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":961.4649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":961.4649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1042.0079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1042.0079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1043.4508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1043.4508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1072.6098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1072.6098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1172.8726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1172.8726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1192.0714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1192.0714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1289.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1289.4484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1324.7398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1324.7398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1462.8592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1462.8592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":224.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":224.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.5187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.5187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":254.0339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":254.0339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.2467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.2467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":854.9294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":854.9294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":929.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":929.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":955.6933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":955.6933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":961.4649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":961.4649,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":253.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":297.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":253.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":297.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":253.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":297.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG and RESPIR SNR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64583","description":"REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG and RESPIR SNR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":520.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":612.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG and RESPIR SNR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64583","description":"REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG and RESPIR SNR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":520.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":520.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":612.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":612.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPLCMT SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61891","description":"REVJ/RPLCMT SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":390.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":459.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPLCMT SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61891","description":"REVJ/RPLCMT SKULL-MNTD CRANIAL NSTIM PG/RECEIVER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":390.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":390.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":459.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":236.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":278.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":384.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":236.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":278.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":384.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVOSHIELD Plus  AMNIOTIC BARRIER PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4289","description":"REVOSHIELD Plus  AMNIOTIC BARRIER PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVOSHIELD Plus  AMNIOTIC BARRIER PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4289","description":"REVOSHIELD Plus  AMNIOTIC BARRIER PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":760.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":760.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5138.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5138.51,"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":null,"billing_code":"3472F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":415.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":488.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":415.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":415.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":488.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":488.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":570.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":570.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":657.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":773.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":657.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":773.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":773.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":701.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":701.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":701.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":918.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":918.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":918.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":564.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":564.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1017.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1017.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1017.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":524.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":524.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":524.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":739.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":739.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":547.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":644.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":547.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":547.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":644.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":644.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90384","description":"RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90384","description":"RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2787","description":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2439.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2439.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2787","description":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2439.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2439.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":373.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":467.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":373.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":373.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":467.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":597.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":597.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":597.45,"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":null,"billing_code":"G8661","description":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90673","description":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90673","description":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90682","description":"RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90682","description":"RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMT IH VST E/M EST PT MCR-APVD BPCI ADV TYP 10 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9983","description":"RMT IH VST E/M EST PT MCR-APVD BPCI ADV TYP 10 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMT IH VST E/M EST PT MCR-APVD BPCI ADV TYP 10 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9983","description":"RMT IH VST E/M EST PT MCR-APVD BPCI ADV TYP 10 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMT IH VST E/M EST PT MCR-APVD BPCI ADV TYP 15 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9984","description":"RMT IH VST E/M EST PT MCR-APVD BPCI ADV TYP 15 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMT IH VST E/M EST PT MCR-APVD BPCI ADV TYP 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9984","description":"RMT IH VST E/M EST PT MCR-APVD BPCI ADV TYP 15 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMT IH VST E/M EST PT MCR-APVD BPCI ADV TYP 25 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9985","description":"RMT IH VST E/M EST PT MCR-APVD BPCI ADV TYP 25 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMT IH VST E/M EST PT MCR-APVD BPCI ADV TYP 25 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9985","description":"RMT IH VST E/M EST PT MCR-APVD BPCI ADV TYP 25 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMT IH VST E/M EST PT MCR-APVD BPCI ADV TYP 40 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9986","description":"RMT IH VST E/M EST PT MCR-APVD BPCI ADV TYP 40 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMT IH VST E/M EST PT MCR-APVD BPCI ADV TYP 40 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9986","description":"RMT IH VST E/M EST PT MCR-APVD BPCI ADV TYP 40 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.6603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.6875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.9721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 10 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9978","description":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 10 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 10 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9978","description":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 10 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 20 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9979","description":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 20 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 20 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9979","description":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 20 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 30 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9980","description":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 30 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 30 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9980","description":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 30 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 45 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9981","description":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 45 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 45 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9981","description":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 45 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 60 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9982","description":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 60 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.5697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.5697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":115.0127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":115.0127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":150.6047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":150.6047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 60 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9982","description":"RMT IH VST E/M NP MCR-APVD BPCI ADV EOC TYP 60 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.5697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.5697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":115.0127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":115.0127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":150.6047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":150.6047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":920.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":920.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":920.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":507.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":596.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":507.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":507.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":596.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":596.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":649.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":649.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":649.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97602","description":"RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97602","description":"RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1011.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1011.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1023.4103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1023.4103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1052.5692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1052.5692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1150.9282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1150.9282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1154.4954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1154.4954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1251.5918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1251.5918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1286.4023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1286.4023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1412.6577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1412.6577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":213.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":213.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":228.1816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":228.1816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":233.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":233.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":261.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":261.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":823.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":823.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":890.9824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":890.9824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":915.4519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":915.4519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":941.4244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":941.4244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP GT or equal to 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69728","description":"RMVL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP GT or equal to 1","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":454.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP GT or equal to 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69728","description":"RMVL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP GT or equal to 1","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":454.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":454.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.9985,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":355.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":418.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":355.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":418.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":396.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":466.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":396.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":466.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":466.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":571.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":571.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":571.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":176.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":176.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":199.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":199.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33989","description":"RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.4875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.4875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":401.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33989","description":"RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.4875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.4875,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":401.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":447.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":526.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":447.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":526.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":526.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":595.3042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":595.3042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":632.8001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":632.8001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":646.4477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":646.4477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":652.9208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":652.9208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.9595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.9595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":690.6972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":690.6972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":704.8258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":704.8258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":713.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":713.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.2342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.2342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":761.9614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":761.9614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":785.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":785.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":80.6632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":80.6632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":807.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":807.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":823.4858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":823.4858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":910.5419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":910.5419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":595.3042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":595.3042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":632.8001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":632.8001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":646.4477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":646.4477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":652.9208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":652.9208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.9595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.9595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":690.6972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":690.6972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":704.8258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":704.8258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":713.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":713.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.2342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.2342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":761.9614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":761.9614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":785.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":785.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":80.6632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":80.6632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":807.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":807.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":823.4858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":823.4858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":910.5419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":910.5419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1085.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1085.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1085.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1085.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1055.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1055.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1055.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1006.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1006.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1006.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1325.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1325.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1325.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1325.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1305.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1305.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1305.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1305.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.391,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NONINFCT MESH/PROSTH AA/PARASTOMAL HRNA RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49623","description":"RMVL NONINFCT MESH/PROSTH AA/PARASTOMAL HRNA RPR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NONINFCT MESH/PROSTH AA/PARASTOMAL HRNA RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49623","description":"RMVL NONINFCT MESH/PROSTH AA/PARASTOMAL HRNA RPR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33272","description":"RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":294.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":346.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33272","description":"RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":294.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":346.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33280","description":"RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33280","description":"RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33279","description":"RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":222.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33279","description":"RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":222.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":222.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":423.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":498.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":423.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":423.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":498.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":498.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":562.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":662.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":562.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":562.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":662.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":662.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":630.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":742.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":742.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":630.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":742.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":742.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":293.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":345.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":293.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":293.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":345.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":345.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11201","description":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11201","description":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":436.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":436.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":436.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1011.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1011.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1023.4103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1023.4103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1052.5692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1052.5692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1150.9282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1150.9282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1154.4954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1154.4954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1251.5918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1251.5918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1286.4023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1286.4023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1412.6577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1412.6577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":213.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":213.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":228.1816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":228.1816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":233.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":233.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":261.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":261.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":823.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":823.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":890.9824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":890.9824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":915.4519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":915.4519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":941.4244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":941.4244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1011.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1011.5463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1023.4103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1023.4103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1052.5692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1052.5692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.0908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1150.9282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1150.9282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1154.4954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1154.4954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.9165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1251.5918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1251.5918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1286.4023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1286.4023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.8647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1412.6577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1412.6577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":213.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":213.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":228.1816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":228.1816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":233.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":233.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":261.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":261.7295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":823.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":823.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":890.9824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":890.9824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":915.4519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":915.4519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":941.4244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":941.4244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":264.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":264.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":175.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":175.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1801.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1801.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1801.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1801.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":328.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":386.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":328.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":386.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.9695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":146.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":146.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.9695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.9695,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33287","description":"RMVL and RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":247.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":291.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33287","description":"RMVL and RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":247.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":291.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":291.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33288","description":"RMVL and RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":328.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33288","description":"RMVL and RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":328.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":328.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":385.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":385.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":537.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":537.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":537.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":444.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":522.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":444.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":522.42,"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":null,"billing_code":"3265F","description":"RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":322.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3220.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3220.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":322.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":322.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3220.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3220.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROLAPITANT ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8670","description":"ROLAPITANT ORAL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROLAPITANT ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8670","description":"ROLAPITANT ORAL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":504.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":504.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":504.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROTARY WING AIR MILEAGE PER STATUTE MILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0436","description":"ROTARY WING AIR MILEAGE PER STATUTE MILE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROTARY WING AIR MILEAGE PER STATUTE MILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0436","description":"ROTARY WING AIR MILEAGE PER STATUTE MILE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1250.8704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1250.8704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1340.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1340.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1371.6347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1371.6347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1494.9241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1494.9241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1250.8704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1250.8704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1340.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1340.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1371.6347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1371.6347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1494.9241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1494.9241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1339.8704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1339.8704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1436.4057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1436.4057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1470.2542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1470.2542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1597.5316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1597.5316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1339.8704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1339.8704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1436.4057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1436.4057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1470.2542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1470.2542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1597.5316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1597.5316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":314.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":349.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":314.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":349.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":349.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":183.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":183.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":183.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":183.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":433.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":542.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":433.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":542.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":433.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":542.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":542.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":634.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":704.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":634.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":704.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":634.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":634.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":704.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":375.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":375.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":375.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":375.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1972.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1972.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1972.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1972.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE BY TLCJ AUTOL PULM VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33440","description":"RPLCMT AORTIC VALVE BY TLCJ AUTOL PULM VALVE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2365.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2365.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2782.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2782.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE BY TLCJ AUTOL PULM VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33440","description":"RPLCMT AORTIC VALVE BY TLCJ AUTOL PULM VALVE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2365.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2365.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2782.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2782.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1960.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1960.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1960.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1960.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1687.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1687.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1687.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1687.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":639.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":639.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":639.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":323.1537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":323.1537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":327.3622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":327.3622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":334.5768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":334.5768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.2247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.2247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":362.9943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":362.9943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":371.1708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":371.1708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":393.2956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":393.2956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":398.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":398.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":407.7649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":407.7649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":489.6906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":489.6906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":546.2049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":546.2049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":602.7192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":602.7192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":323.1537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":323.1537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":327.3622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":327.3622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":334.5768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":334.5768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.2247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.2247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":362.9943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":362.9943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":371.1708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":371.1708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":393.2956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":393.2956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":398.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":398.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":407.7649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":407.7649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":489.6906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":489.6906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":546.2049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":546.2049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":602.7192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":602.7192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69730","description":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":527.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69730","description":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP GT or equal to","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":527.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":527.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69719","description":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":397.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":467.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69719","description":"RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP LT 100","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":397.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":397.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":467.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":467.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1751.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1751.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1751.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1751.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1527.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1527.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1527.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1527.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":556.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":556.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":216.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":255.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":216.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":216.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":255.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":255.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":577.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":577.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":577.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1704.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1704.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1704.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1704.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1433.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1433.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1433.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1433.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1677.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1677.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1677.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1677.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1470.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1470.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1470.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1470.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99457","description":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99457","description":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99458","description":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99458","description":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":284.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":284.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":284.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2184.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2184.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2184.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2184.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":313.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":313.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":313.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1810.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1810.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1810.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1810.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1851.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1851.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1851.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1851.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":289.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":289.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  GT  10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49596","description":"RPR AA HERNIA 1ST  GT  10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":796.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  GT  10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49596","description":"RPR AA HERNIA 1ST  GT  10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":796.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":796.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  GT  10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49595","description":"RPR AA HERNIA 1ST  GT  10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":599.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  GT  10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49595","description":"RPR AA HERNIA 1ST  GT  10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":599.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":599.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  LT  3 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49592","description":"RPR AA HERNIA 1ST  LT  3 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  LT  3 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49592","description":"RPR AA HERNIA 1ST  LT  3 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  LT  3 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49591","description":"RPR AA HERNIA 1ST  LT  3 CM REDUCIBLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST  LT  3 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49591","description":"RPR AA HERNIA 1ST  LT  3 CM REDUCIBLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49594","description":"RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":581.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49594","description":"RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":581.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":581.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST 3-10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49593","description":"RPR AA HERNIA 1ST 3-10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":445.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA 1ST 3-10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49593","description":"RPR AA HERNIA 1ST 3-10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":445.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":445.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  GT  10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49618","description":"RPR AA HERNIA RECR  GT  10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":965.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  GT  10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49618","description":"RPR AA HERNIA RECR  GT  10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":965.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  GT  10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49617","description":"RPR AA HERNIA RECR  GT  10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":688.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  GT  10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49617","description":"RPR AA HERNIA RECR  GT  10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":688.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  LT  3 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49614","description":"RPR AA HERNIA RECR  LT  3 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":444.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  LT  3 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49614","description":"RPR AA HERNIA RECR  LT  3 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":444.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":444.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  LT  3 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49613","description":"RPR AA HERNIA RECR  LT  3 CM REDUCIBLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR  LT  3 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49613","description":"RPR AA HERNIA RECR  LT  3 CM REDUCIBLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":327.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":327.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49616","description":"RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":669.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49616","description":"RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":669.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR 3-10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49615","description":"RPR AA HERNIA RECR 3-10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":497.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AA HERNIA RECR 3-10 CM REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49615","description":"RPR AA HERNIA RECR 3-10 CM REDUCIBLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":497.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":497.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AND REFITG SPECTACLE PROSTHESIS APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92371","description":"RPR AND REFITG SPECTACLE PROSTHESIS APHAKIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1331.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1331.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1331.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1331.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1165.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1165.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1165.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1165.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1565.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1565.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1565.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1565.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1387.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1387.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1387.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1387.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":986.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":986.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":829.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":975.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":829.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":975.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1486.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1486.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1486.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1486.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1304.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1304.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1304.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1304.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":253.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":297.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":400.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":253.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":253.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":297.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":400.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":400.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1073.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1073.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1073.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1073.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1071.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1071.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1071.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1071.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":318.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":209.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":209.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":318.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":318.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1784.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1784.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1784.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1784.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1691.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1691.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1691.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1691.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1632.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1632.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1632.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1632.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1769.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1769.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1769.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1769.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1935.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1935.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1935.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1935.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":878.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":878.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1456.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1456.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1456.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1456.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1450.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1450.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1450.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1450.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":882.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":882.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":882.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1215.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1215.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1215.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1215.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":369.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":369.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":369.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1677.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1677.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1677.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1677.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1034.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1034.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1034.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1034.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1677.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1677.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1034.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1034.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1469.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1469.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1469.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1469.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":261.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":261.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1617.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1617.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1617.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1617.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1500.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1500.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1500.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1500.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":570.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":570.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":570.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NSL VLV COLLAPSE LW NRG SUBQ/SBMCSL RMDLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30469","description":"RPR NSL VLV COLLAPSE LW NRG SUBQ/SBMCSL RMDLG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1829.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1829.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NSL VLV COLLAPSE LW NRG SUBQ/SBMCSL RMDLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30469","description":"RPR NSL VLV COLLAPSE LW NRG SUBQ/SBMCSL RMDLG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1829.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1829.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1840.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1840.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1840.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1840.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1358.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1358.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1358.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1358.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":877.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":877.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49621","description":"RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":576.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49621","description":"RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":576.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49622","description":"RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":712.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49622","description":"RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":712.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":712.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1128.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1128.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":927.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":927.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2080.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2080.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2080.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2080.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1341.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1341.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1341.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1341.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1736.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1736.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1736.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1736.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":337.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":283.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":283.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":337.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":337.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":233.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":274.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":297.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":233.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":274.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":274.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":297.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":389.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":458.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":557.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":389.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":458.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":458.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":557.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":557.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1142.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1142.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1142.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1142.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1488.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1488.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1488.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1488.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1492.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1492.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1492.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1492.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1666.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1666.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1666.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1666.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":364.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":364.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":214.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":344.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":214.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":214.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":344.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":344.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1853.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1853.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1853.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1853.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1964.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1964.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1964.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1964.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1897.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1897.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1897.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1897.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1935.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1935.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1935.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1935.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1745.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1745.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1745.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1745.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1736.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1736.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1736.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1736.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1882.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1882.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1882.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1882.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1725.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1725.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1725.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1725.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1886.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1886.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1886.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1886.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1543.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1543.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1543.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1543.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1853.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1853.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1964.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1964.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1897.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1897.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2500.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2500.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2500.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2500.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1736.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1736.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1725.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1725.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1543.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1543.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1886.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1886.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1935.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1935.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1745.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1745.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1882.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1882.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1767.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1767.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1767.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1767.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":381.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":381.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":289.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":340.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":289.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":340.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.47,"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":null,"billing_code":"G8667","description":"RS ELBOW WRIST/HAND IMPR SUC CALC  and  SCORE  Equal to 0","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV MONOCLONAL ANTB SEASONAL DOSE 0.7 ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90382","description":"RSV MONOCLONAL ANTB SEASONAL DOSE 0.7 ML IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV MONOCLONAL ANTB SEASONAL DOSE 0.7 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90382","description":"RSV MONOCLONAL ANTB SEASONAL DOSE 0.7 ML IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90679","description":"RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":314.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90679","description":"RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":314.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":314.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90678","description":"RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90678","description":"RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM 1ST SET-UP and PT EDUCAJ ON USE OF EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98975","description":"RTM 1ST SET-UP and PT EDUCAJ ON USE OF EQUIPMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM 1ST SET-UP and PT EDUCAJ ON USE OF EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98975","description":"RTM 1ST SET-UP and PT EDUCAJ ON USE OF EQUIPMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA MUSCSKEL SYS 16-30 D IN 30D PD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98977","description":"RTM DEV SPLY DATA MUSCSKEL SYS 16-30 D IN 30D PD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA MUSCSKEL SYS 16-30 D IN 30D PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98977","description":"RTM DEV SPLY DATA MUSCSKEL SYS 16-30 D IN 30D PD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA MUSCSKEL SYS 2-15 D IN 30D PD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98985","description":"RTM DEV SPLY DATA MUSCSKEL SYS 2-15 D IN 30D PD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA MUSCSKEL SYS 2-15 D IN 30D PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98985","description":"RTM DEV SPLY DATA MUSCSKEL SYS 2-15 D IN 30D PD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA RESPIR SYS 16-30 D IN 30 D PD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98976","description":"RTM DEV SPLY DATA RESPIR SYS 16-30 D IN 30 D PD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA RESPIR SYS 16-30 D IN 30 D PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98976","description":"RTM DEV SPLY DATA RESPIR SYS 16-30 D IN 30 D PD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA RESPIR SYS 2-15 DAYS IN 30D PD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98984","description":"RTM DEV SPLY DATA RESPIR SYS 2-15 DAYS IN 30D PD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA RESPIR SYS 2-15 DAYS IN 30D PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98984","description":"RTM DEV SPLY DATA RESPIR SYS 2-15 DAYS IN 30D PD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98980","description":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98980","description":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98981","description":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98981","description":"RTM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RUNX1 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81334","description":"RUNX1 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":247.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.19,"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":null,"billing_code":"1160F","description":"RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 C-LENS SUPVJ CRNL LENS OU XCPT APHK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92310","description":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92310","description":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.54,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX AND FTG CONTACT CORNEAL LENS EYES XCPT APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92314","description":"RX AND FTG CONTACT CORNEAL LENS EYES XCPT APHAKIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB ADVRS RX RXN and RSPSE VRNT ALYS 33 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0438U","description":"RX METAB ADVRS RX RXN and RSPSE VRNT ALYS 33 GENES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS OU XCPT APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92314","description":"RX and FITG C-LENS TECH CRNL LENS OU XCPT APHAKIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS OU XCPT APHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92314","description":"RX and FITG C-LENS TECH CRNL LENS OU XCPT APHAKIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":289.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.06,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 EQUIPMENT DEVICE OR ACCESSORY ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0700","description":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.82,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":474.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":474.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58770","description":"SALPINGOSTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.2737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.2737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":328.3843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":328.3843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":334.0357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":334.0357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":350.8497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":350.8497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":366.2409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":366.2409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":371.4514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":371.4514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.3733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.3733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":419.8092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":419.8092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":421.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":421.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":442.4751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":442.4751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":450.9522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":450.9522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":502.3161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":502.3161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58770","description":"SALPINGOSTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.2737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.2737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":328.3843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":328.3843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":334.0357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":334.0357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":350.8497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":350.8497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":366.2409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":366.2409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":371.4514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":371.4514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.3733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.3733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":419.8092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":419.8092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":421.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":421.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":442.4751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":442.4751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":450.9522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":450.9522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":502.3161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":502.3161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SANOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4319","description":"SANOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SANOPELLIS PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4308","description":"SANOPELLIS PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SANOPELLIS PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4308","description":"SANOPELLIS PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":787.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":787.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 10MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91319","description":"SARSCOV2 VACC 10MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 10MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91319","description":"SARSCOV2 VACC 10MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91320","description":"SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":168.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91320","description":"SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":168.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 3MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91318","description":"SARSCOV2 VACC 3MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 3MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91318","description":"SARSCOV2 VACC 3MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC SAPONIN-BSD ADJT 5MCG/0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91304","description":"SARSCOV2 VACC SAPONIN-BSD ADJT 5MCG/0.5ML IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC SAPONIN-BSD ADJT 5MCG/0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91304","description":"SARSCOV2 VACC SAPONIN-BSD ADJT 5MCG/0.5ML IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 10 MCG/0.2 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91323","description":"SARSCOV2 VACCINE 10 MCG/0.2 ML FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 10 MCG/0.2 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91323","description":"SARSCOV2 VACCINE 10 MCG/0.2 ML FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 25 MCG/0.25 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91321","description":"SARSCOV2 VACCINE 25 MCG/0.25 ML FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 25 MCG/0.25 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91321","description":"SARSCOV2 VACCINE 25 MCG/0.25 ML FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91322","description":"SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91322","description":"SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.65,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99493","description":"SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99493","description":"SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD CARBAPENEM RESIST GEN AMP PRB TQ PER ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87183","description":"SC STD CARBAPENEM RESIST GEN AMP PRB TQ PER ISOL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCAPULOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23400","description":"SCAPULOPEXY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":680.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCAPULOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23400","description":"SCAPULOPEXY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":680.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":680.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL COVER SHELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2627","description":"SCLERAL COVER SHELL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1649.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1649.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL COVER SHELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2627","description":"SCLERAL COVER SHELL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1649.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1649.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":531.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":531.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCOLIOSIS ORTHOSIS SAGITTAL-CORONAL CONTROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1006","description":"SCOLIOSIS ORTHOSIS SAGITTAL-CORONAL CONTROL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1095.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1095.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"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":null,"billing_code":"G8431","description":"SCR CLIN DEPR DOC POS  and  F/U PLAN IS DOCUMENTED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CONSIDER IND PARTICIP SPEC PROG PROJ/TX PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1023","description":"SCR CONSIDER IND PARTICIP SPEC PROG PROJ/TX PER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CONSIDER IND PARTICIP SPEC PROG PROJ/TX PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1023","description":"SCR CONSIDER IND PARTICIP SPEC PROG PROJ/TX PER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","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":null,"billing_code":"G9900","description":"SCR DX F DGTL/DBT MAMMO RSLT NOT DOC and REV RSN NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DGTL BRST TS MMG RSLT NO DOC RSN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1285","description":"SCR DX FILM DGTL BRST TS MMG RSLT NO DOC RSN NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DGTL BRST TS MMG RSLT NO DOC RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1285","description":"SCR DX FILM DGTL BRST TS MMG RSLT NO DOC RSN NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DGTL/DGTL BRST TS MAMMO RSLT DOC and REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1302","description":"SCR DX FILM DGTL/DGTL BRST TS MAMMO RSLT DOC and REV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DGTL/DGTL BRST TS MAMMO RSLT DOC and REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1302","description":"SCR DX FILM DGTL/DGTL BRST TS MAMMO RSLT DOC and REV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PAP SMER CERV/VAG TO 3 SMERS RQR INTEPR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P3001","description":"SCR PAP SMER CERV/VAG TO 3 SMERS RQR INTEPR PHYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR PAP SMER CERV/VAG TO 3 SMERS RQR INTEPR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P3001","description":"SCR PAP SMER CERV/VAG TO 3 SMERS RQR INTEPR PHYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCRATCH RESISTANT COATING PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2760","description":"SCRATCH RESISTANT COATING PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCRATCH RESISTANT COATING PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2760","description":"SCRATCH RESISTANT COATING PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.37,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PAP SMEAR; OBTAIN PREP  AND C ONVEY TO LAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0091","description":"SCREEN PAP SMEAR; OBTAIN PREP  AND C ONVEY TO LAB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.42,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DARK ADAPTATION MEASUREMENT W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92288","description":"SCREENING DARK ADAPTATION MEASUREMENT W/I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DARK ADAPTATION MEASUREMENT W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92288","description":"SCREENING DARK ADAPTATION MEASUREMENT W/I and R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.74,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.91,"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":"2022","billing_code":"77063","description":"SCREENING DIGITAL BREAST TOMOSYNTHESIS BI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.91,"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":null,"billing_code":"G8433","description":"SCREENING FOR DEPR NOT COMPL DOCUMENT PT REASON","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.76,"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":"2022","billing_code":"77067","description":"SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.76,"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":null,"billing_code":"3014F","description":"SCREENING MAMMOGRAPHY RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.99,"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":"2022","billing_code":"92551","description":"SCREENING TEST PURE TONE AIR ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["21","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["21","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["21","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["21","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT CONTOURED PED WC INCL FIX ATTCH HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2294","description":"SEAT CONTOURED PED WC INCL FIX ATTCH HARDWARE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":500.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":263.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":260.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":260.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2292","description":"SEAT PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":350.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":350.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":381.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":449.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":381.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":449.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":381.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":381.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":449.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":611.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":611.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEU APPL USE W/PNEU COMP INTG HEAD NCK  and  CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0659","description":"SEG PNEU APPL USE W/PNEU COMP INTG HEAD NCK  and  CT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1440.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1440.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1405.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1405.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":606.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":606.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":606.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":645.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":645.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEGESTER ACET ETH ESTR 0.15MG 0.013MG/24H YR VAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7294","description":"SEGESTER ACET ETH ESTR 0.15MG 0.013MG/24H YR VAG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2236.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2236.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEGESTER ACET ETH ESTR 0.15MG 0.013MG/24H YR VAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7294","description":"SEGESTER ACET ETH ESTR 0.15MG 0.013MG/24H YR VAG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2236.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2236.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":360.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":464.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":464.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":299.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEGMENTAL PNEUMATIC COMP 2 FULL ARMS  and  CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0658","description":"SEGMENTAL PNEUMATIC COMP 2 FULL ARMS  and  CHEST","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1440.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1440.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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-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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.55,"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":null,"billing_code":"4450F","description":"SELF-CARE EDUCATION PROVIDED TO PATIENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.6,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-IMPLANTABLE MIDDLE EAR HEARING PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5095","description":"SEMI-IMPLANTABLE MIDDLE EAR HEARING PROSTHESIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-IMPLANTABLE MIDDLE EAR HEARING PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5095","description":"SEMI-IMPLANTABLE MIDDLE EAR HEARING PROSTHESIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":895.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":895.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":895.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":881.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":881.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSOR;INVSV DISP INTRSTL CONT GLU MON SYS 1U Equal to 1D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9276","description":"SENSOR;INVSV DISP INTRSTL CONT GLU MON SYS 1U Equal to 1D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.85,"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":null,"billing_code":"G8878","description":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTRY SL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4348","description":"SENTRY SL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTRY SL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4348","description":"SENTRY SL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPT9 GENE PROMOTER METHYLATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81327","description":"SEPT9 GENE PROMOTER METHYLATION ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":309.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":363.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":309.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":309.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":363.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":298.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":298.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERPINA1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81332","description":"SERPINA1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.74,"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":null,"billing_code":"3278F","description":"SERUM LEVELS CALCUM PHOSPH PARATHYR  AND  LIPID PR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9473","description":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PERFORM BY DOULA BIRTH WORKER PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1033","description":"SERVICES PERFORM BY DOULA BIRTH WORKER PER DIEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":510.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":600.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERFORM BY DOULA BIRTH WORKER PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1033","description":"SERVICES PERFORM BY DOULA BIRTH WORKER PER DIEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":510.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":510.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":600.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PRFRM BY DOULA BIRTH WORKER PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1032","description":"SERVICES PRFRM BY DOULA BIRTH WORKER PER 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PRFRM BY DOULA BIRTH WORKER PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1032","description":"SERVICES PRFRM BY DOULA BIRTH WORKER PER 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED BTW 10 PM AND 8 AM AT 24-HR FACI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99053","description":"SERVICES PROVIDED BTW 10 PM AND 8 AM AT 24-HR FACI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PROVIDED BTW 10 PM AND 8 AM AT 24-HR FACI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99053","description":"SERVICES PROVIDED BTW 10 PM AND 8 AM AT 24-HR FACI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PROVIDED OFFICE OTH/THN REG SCHED HOURS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99050","description":"SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99050","description":"SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SET-UP PORTABLE X-RAY EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0092","description":"SET-UP PORTABLE X-RAY EQUIPMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SET-UP PORTABLE X-RAY EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0092","description":"SET-UP PORTABLE X-RAY EQUIPMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEV AQT RESPIR SYND CORONAVIRUS 2 ANTIBODY QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86413","description":"SEV AQT RESPIR SYND CORONAVIRUS 2 ANTIBODY QUAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVELAMER CARBONATE ORAL 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0601","description":"SEVELAMER CARBONATE ORAL 20 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVELAMER CARBONATE ORAL 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0601","description":"SEVELAMER CARBONATE ORAL 20 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVELAMER CARBONATE ORAL POWDER 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0602","description":"SEVELAMER CARBONATE ORAL POWDER 20 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVELAMER CARBONATE ORAL POWDER 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0602","description":"SEVELAMER CARBONATE ORAL POWDER 20 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVELAMER HYDROCHLORIDE ORAL 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0603","description":"SEVELAMER HYDROCHLORIDE ORAL 20 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVELAMER HYDROCHLORIDE ORAL 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0603","description":"SEVELAMER HYDROCHLORIDE ORAL 20 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.07,"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":null,"billing_code":"1010F","description":"SEVERITY OF ANGINA ASSESSED BY LEVEL OF ACTIVITY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1698.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1698.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1438.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1438.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1612.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1612.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1438.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1438.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":463.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":787.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":787.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1698.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1698.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1698.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1698.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":975.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":975.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1438.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1438.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SF3B1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81347","description":"SF3B1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1912.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1912.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1912.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1912.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.7395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.7395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.7395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45349","description":"SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":77.6571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":77.6571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":77.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":77.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.0903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.0903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45349","description":"SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":77.6571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":77.6571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":77.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":77.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.0903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.0903,"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":null,"billing_code":"G9297","description":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.96,"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":"2022","billing_code":"11313","description":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.027,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.681,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHELTER DM MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4346","description":"SHELTER DM MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHELTER DM MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4346","description":"SHELTER DM MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2841.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2841.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12490.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12490.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2895.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2895.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1342.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1342.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2575.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2575.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":778.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":771.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER SLING/VEST ABDUCTION RESTRAINER PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4566","description":"SHOULDER SLING/VEST ABDUCTION RESTRAINER PREFAB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER SLING/VEST ABDUCTION RESTRAINER PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4566","description":"SHOULDER SLING/VEST ABDUCTION RESTRAINER PREFAB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14104.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14104.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":481.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":481.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1178.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1178.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1178.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1178.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1178.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1178.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1131.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1131.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1131.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1131.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1199.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1199.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1199.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1199.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1199.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1199.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1125.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1125.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1125.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1125.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1125.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1125.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1269.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1269.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1217.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1217.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1269.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1269.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1269.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1269.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1217.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1217.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1217.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1217.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.801,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45346","description":"SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.7395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1260.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1260.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45346","description":"SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.7395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.7395,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1260.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1260.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.557,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45347","description":"SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45347","description":"SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.1235,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.975,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.7905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.7905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":396.4019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":396.4019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":406.0213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":406.0213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":609.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":609.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.7905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.7905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":396.4019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":396.4019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":406.0213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":406.0213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":609.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":609.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGNATURE APATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4260","description":"SIGNATURE APATCH PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGNATURE APATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4260","description":"SIGNATURE APATCH PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":179.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":179.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLIGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4340","description":"SIMPLIGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLIGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4340","description":"SIMPLIGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLIMAX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4341","description":"SIMPLIMAX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLIMAX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4341","description":"SIMPLIMAX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLAY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4329","description":"SINGLAY PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLAY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4329","description":"SINGLAY PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4304.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4304.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE VISION SPHERE OVER  Plus /- 12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2114","description":"SINGLE VISION SPHERE OVER  Plus /- 12.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE VISION SPHERE OVER  Plus /- 12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2114","description":"SINGLE VISION SPHERE OVER  Plus /- 12.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.82,"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":null,"billing_code":"G9364","description":"SINUSITIS CAUSED BY/PRES CAUSED BY BACTERIAL INF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.41,"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":"2022","billing_code":"92546","description":"SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":636.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":636.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":636.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":668.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":668.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":668.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":673.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":673.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":673.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":779.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":779.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":779.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":818.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":818.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":818.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":332.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":391.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":332.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":332.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":391.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":391.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":354.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":417.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":354.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":417.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":470.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":553.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":470.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":553.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":583.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":583.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":583.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":535.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":535.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":264.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":340.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":264.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":264.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":340.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":340.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":265.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":265.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":254.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":254.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":421.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":333.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":333.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":422.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":422.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":331.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN SUBSTITUTE FDA CLEARED AS A DEVICE NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4100","description":"SKIN SUBSTITUTE FDA CLEARED AS A DEVICE NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST CANDIDA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86485","description":"SKIN TEST CANDIDA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST TUBERCULOSIS INTRADERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86580","description":"SKIN TEST TUBERCULOSIS INTRADERMAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKINTE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4200","description":"SKINTE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKINTE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4200","description":"SKINTE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":347.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":347.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":289.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":289.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":188.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":188.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2710","description":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2710","description":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCO1B1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81328","description":"SLCO1B1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36224","description":"SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1064.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1064.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36224","description":"SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1064.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1064.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":446.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":446.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36225","description":"SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":805.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36225","description":"SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":805.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":805.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36226","description":"SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1026.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36226","description":"SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1026.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1026.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":171.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":171.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":574.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":574.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":574.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":179.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":446.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":179.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":446.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":446.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":179.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":762.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":179.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":762.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":762.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":961.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":191.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":191.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":961.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":961.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":665.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":139.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":139.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":665.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":665.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":552.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":552.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":552.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":619.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":619.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLINGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4565","description":"SLINGS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLINGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4565","description":"SLINGS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMALLPOX and MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90611","description":"SMALLPOX and MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":288.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMALLPOX and MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90611","description":"SMALLPOX and MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":288.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":288.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81329","description":"SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81336","description":"SMN1 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 GENE ANALYSIS KNOWN FAMILIAL SEQ VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81337","description":"SMN1 GENE ANALYSIS KNOWN FAMILIAL SEQ VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.9,"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":null,"billing_code":"G9016","description":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPD1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81330","description":"SMPD1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.25,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.88,"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":"2022","billing_code":"12002","description":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":128.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":128.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC SPEC STAIN BODIES/PARASITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87207","description":"SMR PRIM SRC SPEC STAIN BODIES/PARASITS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC WET MOUNT NFCT AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87210","description":"SMR PRIM SRC WET MOUNT NFCT AGT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SNRPN/UBE3A METHYLATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81331","description":"SNRPN/UBE3A METHYLATION ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SNSR;INVSV DISP USE NONDME INTRSTL CGM 1U Equal to 1D SPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9276","description":"SNSR;INVSV DISP USE NONDME INTRSTL CGM 1U Equal to 1D SPL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SNSR;INVSV DISP USE NONDME INTRSTL CGM 1U Equal to 1D SPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9276","description":"SNSR;INVSV DISP USE NONDME INTRSTL CGM 1U Equal to 1D SPL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP CL FR DNA/DNA and RNA CPY NMBR MCRST INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81464","description":"SO NEO GSAP CL FR DNA/DNA and RNA CPY NMBR MCRST INS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2466.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2466.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP CLL FR DNA ALYS CPY NMBR and MCRSTL INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81463","description":"SO NEO GSAP CLL FR DNA ALYS CPY NMBR and MCRSTL INS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1008.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1008.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP CLL FR DNA/DNA and RNA CPY NMBR and REARGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81462","description":"SO NEO GSAP CLL FR DNA/DNA and RNA CPY NMBR and REARGMT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":896.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":896.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALY CPY NMBR and MICROSATELLITE INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81458","description":"SO NEO GSAP DNA ALY CPY NMBR and MICROSATELLITE INS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":784.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":784.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALYS MICROSATELLITE INSTABILITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81457","description":"SO NEO GSAP DNA ALYS MICROSATELLITE INSTABILITY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":672.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":672.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALYS/DNA and RNA CPY NMBR MCRSTL INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81459","description":"SO NEO GSAP DNA ALYS/DNA and RNA CPY NMBR MCRSTL INS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2242.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2242.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO/HEMATOLYMPHOID NEO/DO 51 OR GT GSAP DNA/DNA and RNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81455","description":"SO/HEMATOLYMPHOID NEO/DO 51 OR GT GSAP DNA/DNA and RNA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2189.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2189.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO/HEMATOLYMPHOID NEO/DO 51 OR GT RNA ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81456","description":"SO/HEMATOLYMPHOID NEO/DO 51 OR GT RNA ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2189.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2189.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOLID ORGAN NEOPLASM GSAP 5-50 DNA/DNA and RNA ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81445","description":"SOLID ORGAN NEOPLASM GSAP 5-50 DNA/DNA and RNA ALYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOLID ORGAN NEOPLASM GSAP 5-50 RNA ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81449","description":"SOLID ORGAN NEOPLASM GSAP 5-50 RNA ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SP HOM MDL PTBL/STNRY ELEC ANY TYPE USE EXT MS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2001","description":"SP HOM MDL PTBL/STNRY ELEC ANY TYPE USE EXT MS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":299.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":299.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1071.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1071.06,"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":"2022","billing_code":"E2504","description":"SPCH GEN DEVC DIGTIZD GT 20 MINS LT or equal to 40 MINS RE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1071.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1071.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":811.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":811.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6565.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6565.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6565.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6565.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3452.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3452.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3452.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3452.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCL STN 2 I and R EXCPT MICROORG/ENZYME/IMCYT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88313","description":"SPCL STN 2 I and R EXCPT MICROORG/ENZYME/IMCYT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL  GT  48 SQ ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6256","description":"SPCLTY ABSORB DRESS STERL  GT  48 SQ ADHES BORDR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL  GT  48 SQ ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6256","description":"SPCLTY ABSORB DRESS STERL  GT  48 SQ ADHES BORDR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.93,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9424","description":"SPEC SITE OTH THAN ANAT LOC LUNG NOT NSCLC/NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.47,"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":"2022","billing_code":"77321","description":"SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":245.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":245.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2730","description":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2730","description":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL CASTING MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4590","description":"SPECIAL CASTING MATERIAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL CASTING MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4590","description":"SPECIAL CASTING MATERIAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":235.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAIN GROUP 1 MICROORGANISMS I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88312","description":"SPECIAL STAIN GROUP 1 MICROORGANISMS I AND R","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":417.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":417.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":359.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":359.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALTY CARE TRANSPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0434","description":"SPECIALTY CARE TRANSPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":413.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALTY CARE TRANSPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0434","description":"SPECIALTY CARE TRANSPORT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":413.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.46,"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":null,"billing_code":"G8797","description":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":266.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":266.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2129.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2129.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2129.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2129.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":645.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":645.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH VOL MODULAT SYS ANY TYPE INC ALL COMP and ACC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E3000","description":"SPEECH VOL MODULAT SYS ANY TYPE INC ALL COMP and ACC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2495.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2495.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPERM WASHING ARTIFICIAL INSEMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58323","description":"SPERM WASHING ARTIFICIAL INSEMINATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPERM WASHING ARTIFICIAL INSEMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58323","description":"SPERM WASHING ARTIFICIAL INSEMINATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2201","description":"SPHERE BIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2201","description":"SPHERE BIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCL  Plus /- 7.12 TO  Plus /- 20.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2202","description":"SPHERE BIFOCL  Plus /- 7.12 TO  Plus /- 20.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCL  Plus /- 7.12 TO  Plus /- 20.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2202","description":"SPHERE BIFOCL  Plus /- 7.12 TO  Plus /- 20.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCL PLANO TO PLUS/MINUS 4.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2200","description":"SPHERE BIFOCL PLANO TO PLUS/MINUS 4.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE BIFOCL PLANO TO PLUS/MINUS 4.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2200","description":"SPHERE BIFOCL PLANO TO PLUS/MINUS 4.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISION  Plus /- 4.12  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2101","description":"SPHERE SINGLE VISION  Plus /- 4.12  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISION  Plus /- 4.12  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2101","description":"SPHERE SINGLE VISION  Plus /- 4.12  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISION PLANO  Plus /- 4.00 PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2100","description":"SPHERE SINGLE VISION PLANO  Plus /- 4.00 PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISION PLANO  Plus /- 4.00 PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2100","description":"SPHERE SINGLE VISION PLANO  Plus /- 4.00 PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISN  Plus /- 7.12  Plus /- 20.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2102","description":"SPHERE SINGLE VISN  Plus /- 7.12  Plus /- 20.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE SINGLE VISN  Plus /- 7.12  Plus /- 20.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2102","description":"SPHERE SINGLE VISN  Plus /- 7.12  Plus /- 20.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2301","description":"SPHERE TRIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2301","description":"SPHERE TRIFOCAL  Plus /- 4.12 TO  Plus /- 7.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL  Plus /- 7.12 TO  Plus /- 20.00 PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2302","description":"SPHERE TRIFOCAL  Plus /- 7.12 TO  Plus /- 20.00 PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL  Plus /- 7.12 TO  Plus /- 20.00 PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2302","description":"SPHERE TRIFOCAL  Plus /- 7.12 TO  Plus /- 20.00 PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL PLANO OR  Plus /-4.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2300","description":"SPHERE TRIFOCAL PLANO OR  Plus /-4.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHERE TRIFOCAL PLANO OR  Plus /-4.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2300","description":"SPHERE TRIFOCAL PLANO OR  Plus /-4.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHYGMOMANOMETER/BP APPARATUS W/CUFF and STETHOSCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4660","description":"SPHYGMOMANOMETER/BP APPARATUS W/CUFF and STETHOSCOPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHYGMOMANOMETER/BP APPARATUS W/CUFF and STETHOSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4660","description":"SPHYGMOMANOMETER/BP APPARATUS W/CUFF and STETHOSCOPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.0,"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":null,"billing_code":"3023F","description":"SPIROMETRY RESULTS DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WITH CFM AF OBS DOC  and  REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1214","description":"SPIROMETRY RESULTS WITH CFM AF OBS DOC  and  REV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WITH CFM AF OBS DOC  and  REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1214","description":"SPIROMETRY RESULTS WITH CFM AF OBS DOC  and  REV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ALW ADJ NI CGM 1 MONTH SUPPLY  Equal to  1 UOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4238","description":"SPL ALW ADJ NI CGM 1 MONTH SUPPLY  Equal to  1 UOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL ALW ADJ NI CGM 1 MONTH SUPPLY  Equal to  1 UOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4238","description":"SPL ALW ADJ NI CGM 1 MONTH SUPPLY  Equal to  1 UOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":210.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":210.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4225","description":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4225","description":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.08,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL MAINT INS IP DR ADJ USING TX CONT G SENS WK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4226","description":"SPL MAINT INS IP DR ADJ USING TX CONT G SENS WK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL MAINT INS IP DR ADJ USING TX CONT G SENS WK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4226","description":"SPL MAINT INS IP DR ADJ USING TX CONT G SENS WK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":306.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":383.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":306.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":383.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":383.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINT SUPPLIES MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4051","description":"SPLINT SUPPLIES MISCELLANEOUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINT SUPPLIES MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4051","description":"SPLINT SUPPLIES MISCELLANEOUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4570","description":"SPLINTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4570","description":"SPLINTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":298.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":460.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLITTING BLOOD/BLOOD PRODUCTS EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86985","description":"SPLITTING BLOOD/BLOOD PRODUCTS EACH UNIT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":298.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":460.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":298.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":351.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":351.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":460.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":460.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":311.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":311.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":448.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":448.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLY ALW NONADJUNC NONIMPL CGM  1 MO SPLY Equal to  1 UOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4239","description":"SPLY ALW NONADJUNC NONIMPL CGM  1 MO SPLY Equal to  1 UOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLY ALW NONADJUNC NONIMPL CGM  1 MO SPLY Equal to  1 UOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4239","description":"SPLY ALW NONADJUNC NONIMPL CGM  1 MO SPLY Equal to  1 UOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPONTANEOUS NYSTAGMUS W/GAZE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92531","description":"SPONTANEOUS NYSTAGMUS W/GAZE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPONTANEOUS NYSTAGMUS W/GAZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92531","description":"SPONTANEOUS NYSTAGMUS W/GAZE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9342","description":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRSF2 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81348","description":"SRSF2 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9477","description":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"G0153","description":"SRVC SPCH and LANG PATH HOME HLTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":331.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":331.74,"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":null,"billing_code":"G8881","description":"STAGE BREAST CANCER GREATER THAN T1N0M0/T2N0M0","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":817.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":817.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":817.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":532.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":532.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":600.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":705.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":600.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":600.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":705.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":705.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5063.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5063.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5063.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5063.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1522.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1522.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1522.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1522.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1442.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1442.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1442.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1442.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1554.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1554.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1554.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1554.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1499.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1499.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1522.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1522.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1442.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1442.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1554.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1554.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1499.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1499.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5063.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5063.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":738.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":738.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":738.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1184.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1184.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1184.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1184.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.0,"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":null,"billing_code":"G8816","description":"STATIN MEDICATION PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":198.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":198.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STD WHLCHAIR; FIX FULL-LEN ARMS DTACHBL FOOTRSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1130","description":"STD WHLCHAIR; FIX FULL-LEN ARMS DTACHBL FOOTRSTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":553.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":553.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENT NONCORONARY TEMPORARY WITH DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S1091","description":"STENT NONCORONARY TEMPORARY WITH DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1551.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1551.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENT NONCORONARY TEMPORARY WITH DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1091","description":"STENT NONCORONARY TEMPORARY WITH DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1551.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1551.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":930.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":930.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":428.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":503.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":428.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":428.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":503.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":930.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":930.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":930.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":930.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":710.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":710.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":710.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":602.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":602.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":602.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":281.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":331.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":281.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":281.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":331.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":371.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":371.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOMACH TUBE - LEVINE TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4083","description":"STOMACH TUBE - LEVINE TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":315.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":315.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":315.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":370.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":370.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":354.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":416.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":354.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":354.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":416.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":416.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":418.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":492.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":418.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":492.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.7385,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.011,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.725,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.428,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRPTCS PNEUM ANTIBODY IGG SEROTYPES MLT IA QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86581","description":"STRPTCS PNEUM ANTIBODY IGG SEROTYPES MLT IA QUAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":229.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":229.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":179.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":179.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11950","description":"SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC OR LT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11950","description":"SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC OR LT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL  GT 10.0 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11954","description":"SUBCUTANEOUS INJECTION FILLING MATRL  GT 10.0 CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL  GT 10.0 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11954","description":"SUBCUTANEOUS INJECTION FILLING MATRL  GT 10.0 CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.0215,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11951","description":"SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11951","description":"SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11952","description":"SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11952","description":"SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":153.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":153.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":223.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":223.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":273.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":321.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":273.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":273.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":321.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":321.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":235.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":277.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":235.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":277.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":277.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":282.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":331.79,"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":"2022","billing_code":"99472","description":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":282.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":282.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":331.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCROFERRIC OXYHYDROXIDE ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0605","description":"SUCROFERRIC OXYHYDROXIDE ORAL 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCROFERRIC OXYHYDROXIDE ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0605","description":"SUCROFERRIC OXYHYDROXIDE ORAL 5 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":499.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":499.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":499.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":499.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":499.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":499.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":499.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":499.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":499.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDAL IDEATION  and /OR BEHAV SX BASED ON C-SSRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1360","description":"SUICIDAL IDEATION  and /OR BEHAV SX BASED ON C-SSRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDAL IDEATION  and /OR BEHAV SX BASED ON C-SSRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1360","description":"SUICIDAL IDEATION  and /OR BEHAV SX BASED ON C-SSRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDAL IDEATION A/O BX SX BSD ON C-SSRS/EQ AX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1352","description":"SUICIDAL IDEATION A/O BX SX BSD ON C-SSRS/EQ AX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDAL IDEATION A/O BX SX BSD ON C-SSRS/EQ AX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1352","description":"SUICIDAL IDEATION A/O BX SX BSD ON C-SSRS/EQ AX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3085F","description":"SUICIDE RISK ASSESSED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BASED ON CLIN EVAL/CLIN-RATED TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1355","description":"SUICIDE RISK BASED ON CLIN EVAL/CLIN-RATED TOOL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BASED ON CLIN EVAL/CLIN-RATED TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1361","description":"SUICIDE RISK BASED ON CLIN EVAL/CLIN-RATED TOOL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BASED ON CLIN EVAL/CLIN-RATED TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1355","description":"SUICIDE RISK BASED ON CLIN EVAL/CLIN-RATED TOOL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BASED ON CLIN EVAL/CLIN-RATED TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1361","description":"SUICIDE RISK BASED ON CLIN EVAL/CLIN-RATED TOOL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUMMIT AAA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4397","description":"SUMMIT AAA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUMMIT AAA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4397","description":"SUMMIT AAA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUP TC ELEC NERVE STIM FOR NRV AUR REG PER MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4543","description":"SUP TC ELEC NERVE STIM FOR NRV AUR REG PER MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUP TC ELEC NERVE STIM FOR NRV AUR REG PER MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4543","description":"SUP TC ELEC NERVE STIM FOR NRV AUR REG PER MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUP and ACC LUNG EXPNSN AWY CLR CONT HF OSC and NEB DVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7021","description":"SUP and ACC LUNG EXPNSN AWY CLR CONT HF OSC and NEB DVC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUP and ACC LUNG EXPNSN AWY CLR CONT HF OSC and NEB DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7021","description":"SUP and ACC LUNG EXPNSN AWY CLR CONT HF OSC and NEB DVC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.17,"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":"2022","billing_code":"77790","description":"SUPERVISION HANDLING LOADING RADIATION SOURCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99377","description":"SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HOSPICE PATIENT/MONTH 15-29 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99377","description":"SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HOSPICE PATIENT/MONTH 30 MINUTES OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99378","description":"SUPERVISION HOSPICE PATIENT/MONTH 30 MINUTES OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION HOSPICE PATIENT/MONTH 30 MINUTES OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99378","description":"SUPERVISION HOSPICE PATIENT/MONTH 30 MINUTES OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION INTERFACILITY TRANSPORT ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99486","description":"SUPERVISION INTERFACILITY TRANSPORT ADDL 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 INTERFACILITY TRANSPORT ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99486","description":"SUPERVISION INTERFACILITY TRANSPORT ADDL 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 INTERFACILITY TRANSPORT INIT 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99485","description":"SUPERVISION INTERFACILITY TRANSPORT INIT 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 INTERFACILITY TRANSPORT INIT 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99485","description":"SUPERVISION INTERFACILITY TRANSPORT INIT 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NURS FACILITY PATIENT MO 15-29 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99379","description":"SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NURS FACILITY PATIENT MO 15-29 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99379","description":"SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NURS FACILITY PATIENT MONTH 30 MIN OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99380","description":"SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NURS FACILITY PATIENT MONTH 30 MIN OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99380","description":"SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PT HOME HEALTH AGENCY MONTH 30 MIN OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99375","description":"SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99375","description":"SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN OR GT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPL  and  ACCESS FOR IVAG DVC INTEND STRENGTH PFM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0716","description":"SUPPL  and  ACCESS FOR IVAG DVC INTEND STRENGTH PFM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES  and  ACCESS FOR EXT UPPER LIMB TREMOR STIM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4542","description":"SUPPLIES  and  ACCESS FOR EXT UPPER LIMB TREMOR STIM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":413.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES  and  ACCESS FOR EXT UPPER LIMB TREMOR STIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4542","description":"SUPPLIES  and  ACCESS FOR EXT UPPER LIMB TREMOR STIM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":413.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":413.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES  and  ACCESSORIES FOR EXT TENS NEEDED 1 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4545","description":"SUPPLIES  and  ACCESSORIES FOR EXT TENS NEEDED 1 MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES  and  ACCESSORIES FOR EXT TENS NEEDED 1 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4545","description":"SUPPLIES  and  ACCESSORIES FOR EXT TENS NEEDED 1 MO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4224","description":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4224","description":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES and MATERIALS ABOVE/BEYOND PROV BY PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99070","description":"SUPPLIES and MATERIALS ABOVE/BEYOND PROV BY PHYS/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES and MATERIALS ABOVE/BEYOND PROV BY PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99070","description":"SUPPLIES and MATERIALS ABOVE/BEYOND PROV BY PHYS/QHP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPRA SDRM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2011","description":"SUPRA SDRM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPRA SDRM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2011","description":"SUPRA SDRM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPRACHOROIDAL SPACE NJX PHARMACOLOGIC AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67516","description":"SUPRACHOROIDAL SPACE NJX PHARMACOLOGIC AGENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPRACHOROIDAL SPACE NJX PHARMACOLOGIC AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67516","description":"SUPRACHOROIDAL SPACE NJX PHARMACOLOGIC AGENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPRATHEL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2012","description":"SUPRATHEL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPRATHEL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2012","description":"SUPRATHEL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99374","description":"SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99374","description":"SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER ORTHVLT DLVR GT 150-500 KV PER FXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77438","description":"SURF RADJ THER ORTHVLT DLVR GT 150-500 KV PER FXJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER ORTHVLT DLVR GT 150-500 KV PER FXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77438","description":"SURF RADJ THER ORTHVLT DLVR GT 150-500 KV PER FXJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER SUPFC DLVR LT or equal to 150 KV PER FRACTI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77437","description":"SURF RADJ THER SUPFC DLVR LT or equal to 150 KV PER FRACTI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER SUPFC DLVR LT or equal to 150 KV PER FRACTI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77437","description":"SURF RADJ THER SUPFC DLVR LT or equal to 150 KV PER FRACTI","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER SUPFC/ORTHVLT TREATMENT PLANNING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77436","description":"SURF RADJ THER SUPFC/ORTHVLT TREATMENT PLANNING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURF RADJ THER SUPFC/ORTHVLT TREATMENT PLANNING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77436","description":"SURF RADJ THER SUPFC/ORTHVLT TREATMENT PLANNING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":251.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":251.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":211.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":211.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":211.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":365.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":365.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG TECHNIQUES REQUIRING USE ROBOTIC SURG SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2900","description":"SURG TECHNIQUES REQUIRING USE ROBOTIC SURG SYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG TECHNIQUES REQUIRING USE ROBOTIC SURG SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2900","description":"SURG TECHNIQUES REQUIRING USE ROBOTIC SURG SYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1749.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1749.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1749.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1749.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":161.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":161.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":465.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":465.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":465.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":758.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":758.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":758.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":491.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":491.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":491.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL BOOT EACH CHILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3209","description":"SURGICAL BOOT EACH CHILD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL BOOT EACH INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3208","description":"SURGICAL BOOT EACH INFANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL BOOT EACH JUNIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3211","description":"SURGICAL BOOT EACH JUNIOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":105.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":105.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.8962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.8962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":109.7821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":109.7821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":169.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":169.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.8744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.8744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.2413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.2413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":285.5777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":285.5777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":98.4592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":98.4592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":105.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":105.2128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.8962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.8962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":109.7821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":109.7821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":169.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":169.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.8744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.8744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.2413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.2413,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":285.5777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":285.5777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":98.4592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":98.4592,"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":null,"billing_code":"G9756","description":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 STOCKING ABOVE KNEE LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4490","description":"SURGICAL STOCKING ABOVE KNEE LENGTH EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING ABOVE KNEE LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4490","description":"SURGICAL STOCKING ABOVE KNEE LENGTH EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING BELOW KNEE LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4500","description":"SURGICAL STOCKING BELOW KNEE LENGTH EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING BELOW KNEE LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4500","description":"SURGICAL STOCKING BELOW KNEE LENGTH EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING FULL-LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4510","description":"SURGICAL STOCKING FULL-LENGTH EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING FULL-LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4510","description":"SURGICAL STOCKING FULL-LENGTH EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING THIGH LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4495","description":"SURGICAL STOCKING THIGH LENGTH EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING THIGH LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4495","description":"SURGICAL STOCKING THIGH LENGTH EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL TRAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4550","description":"SURGICAL TRAYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL TRAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4550","description":"SURGICAL TRAYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4218","description":"SURGICORD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4218","description":"SURGICORD PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGIGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4183","description":"SURGIGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGIGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4183","description":"SURGIGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGIGRAFT-DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4219","description":"SURGIGRAFT-DUAL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGIGRAFT-DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4219","description":"SURGIGRAFT-DUAL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4393","description":"SURGRAFT AC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4393","description":"SURGRAFT AC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4394","description":"SURGRAFT ACA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4394","description":"SURGRAFT ACA PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4268","description":"SURGRAFT FT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4209","description":"SURGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4209","description":"SURGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4263","description":"SURGRAFT TL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4263","description":"SURGRAFT TL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4269","description":"SURGRAFT XT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUROGAT VIR NEUTRLZJ TST SARSCOV2 ELISA PLSM SRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0226U","description":"SUROGAT VIR NEUTRLZJ TST SARSCOV2 ELISA PLSM SRM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.71,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":572.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":572.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":572.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1304.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1304.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1304.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1304.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":863.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":863.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":863.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":863.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":312.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":312.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1169.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1169.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1169.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1169.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":334.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":393.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":334.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":334.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":393.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":393.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":640.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":640.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC PRV EMER BASIS IN OFFICE DISRUPTING SVCS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99058","description":"SVC PRV EMER BASIS IN OFFICE DISRUPTING SVCS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC PRV EMER BASIS IN OFFICE DISRUPTING SVCS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99058","description":"SVC PRV EMER BASIS IN OFFICE DISRUPTING SVCS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC PRV EMER OUT OFFICE DISRUPTS OFFICE SVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99060","description":"SVC PRV EMER OUT OFFICE DISRUPTS OFFICE SVC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC PRV EMER OUT OFFICE DISRUPTS OFFICE SVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99060","description":"SVC PRV EMER OUT OFFICE DISRUPTS OFFICE SVC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99051","description":"SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99051","description":"SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC TYPICAL PRV OFFICE PRV OUT OFFICE REQUEST PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99056","description":"SVC TYPICAL PRV OFFICE PRV OUT OFFICE REQUEST PT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC TYPICAL PRV OFFICE PRV OUT OFFICE REQUEST PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99056","description":"SVC TYPICAL PRV OFFICE PRV OUT OFFICE REQUEST PT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPHONY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2009","description":"SYMPHONY PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPHONY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2009","description":"SYMPHONY PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"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":null,"billing_code":"9006F","description":"SYMPT CAROT STENOS IPSIL CAROT TIA/STRK LT 120DAYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYN RSRB STR PAD SZ  GT 16 SI BUT LT or equal to  48 SI NO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6461","description":"SYN RSRB STR PAD SZ  GT 16 SI BUT LT or equal to  48 SI NO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYN RSRB STR PAD SZ  GT 16 SI BUT LT or equal to  48 SI NO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6461","description":"SYN RSRB STR PAD SZ  GT 16 SI BUT LT or equal to  48 SI NO","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYN RSRB WND DRSG STER PAD 16 SI OR LT  NO ADH BO EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6460","description":"SYN RSRB WND DRSG STER PAD 16 SI OR LT  NO ADH BO EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYN RSRB WND DRSG STER PAD 16 SI OR LT  NO ADH BO EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6460","description":"SYN RSRB WND DRSG STER PAD 16 SI OR LT  NO ADH BO EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98013","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98013","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98014","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98014","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98012","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98012","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98009","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98009","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98010","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98010","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98008","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98008","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98005","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98005","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98006","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98006","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98004","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST SF MDM 10 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98004","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST SF MDM 10 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW LOW MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98001","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW LOW MDM 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW LOW MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98001","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW LOW MDM 30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98002","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98002","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW SF MDM 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98000","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW SF MDM 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW SF MDM 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98000","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW SF MDM 15 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.0,"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":null,"billing_code":"3512F","description":"SYPHILIS SCREENING DOCUMENTED AS DONE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE STERILE 20 CC OR GREATER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4213","description":"SYRINGE STERILE 20 CC OR GREATER EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE STERILE 20 CC OR GREATER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4213","description":"SYRINGE STERILE 20 CC OR GREATER EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4232","description":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4232","description":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 2 CC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4207","description":"SYRINGE WITH NEEDLE STERILE 2 CC EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 2 CC EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4207","description":"SYRINGE WITH NEEDLE STERILE 2 CC EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 3 CC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4208","description":"SYRINGE WITH NEEDLE STERILE 3 CC EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 3 CC EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4208","description":"SYRINGE WITH NEEDLE STERILE 3 CC EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 5 CC OR GREATER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4209","description":"SYRINGE WITH NEEDLE STERILE 5 CC OR GREATER EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE WITH NEEDLE STERILE 5 CC OR GREATER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4209","description":"SYRINGE WITH NEEDLE STERILE 5 CC OR GREATER EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.27,"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":null,"billing_code":"4132F","description":"SYSTEMIC ANTIMICROBIAL TX NOT PRESCRIBED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Scleral cover shell","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2627","description":"Scleral cover shell","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1649.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1649.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Slings","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4565","description":"Slings","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Special casting material","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4590","description":"Special casting material","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Speech_Language Pathology Visit","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Z8005","description":"Speech_Language Pathology Visit","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":532.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":532.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":371.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":371.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgical trays","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4550","description":"Surgical trays","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TABLO HEMODIALYSIS SYS FOR BILLABLE DIALYSIS SVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1629","description":"TABLO HEMODIALYSIS SYS FOR BILLABLE DIALYSIS SVC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS EXTENDED RELEASE ORAL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7508","description":"TACROLIMUS EXTENDED RELEASE ORAL 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS EXTENDED RELEASE ORAL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7508","description":"TACROLIMUS EXTENDED RELEASE ORAL 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS EXTENDED RELEASE ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7503","description":"TACROLIMUS EXTENDED RELEASE ORAL 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS EXTENDED RELEASE ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7503","description":"TACROLIMUS EXTENDED RELEASE ORAL 0.25 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS GRANULES ORAL SUSPENSION 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7521","description":"TACROLIMUS GRANULES ORAL SUSPENSION 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACROLIMUS GRANULES ORAL SUSPENSION 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7521","description":"TACROLIMUS GRANULES ORAL SUSPENSION 0.1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":259.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":259.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":259.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAG PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4261","description":"TAG PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAG PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4261","description":"TAG PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TALYMED PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4127","description":"TALYMED PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TALYMED PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4127","description":"TALYMED PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"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":null,"billing_code":"4179F","description":"TAMOXIFEN OR AROMATASE INHIBITOR (AI) RXD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11103","description":"TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11103","description":"TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TANGENTIAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11102","description":"TANGENTIAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TANGENTIAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11102","description":"TANGENTIAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK BILATERAL BY INJECTION(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64488","description":"TAP BLOCK BILATERAL BY INJECTION(S)","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK BILATERAL BY INJECTION(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64488","description":"TAP BLOCK BILATERAL BY INJECTION(S)","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.907,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.08,"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":"2022","billing_code":"A4450","description":"TAPE NON-WATERPROOF PER 18 SQUARE INCHES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAU PHOSPHORYLATED EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84393","description":"TAU PHOSPHORYLATED EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.49,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TBP GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81344","description":"TBP GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.88,"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":"2022","billing_code":"77089","description":"TBS DXA/OTHER IMG CALCULATION W/I and R FX RISK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TC-99M GRAPHITE CRUCIBLE 1 CRUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9506","description":"TC-99M GRAPHITE CRUCIBLE 1 CRUC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":331.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TC-99M GRAPHITE CRUCIBLE 1 CRUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9506","description":"TC-99M GRAPHITE CRUCIBLE 1 CRUC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":331.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":331.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33289","description":"TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":228.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":269.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33289","description":"TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":228.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":269.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":269.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33274","description":"TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":339.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":398.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33274","description":"TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":339.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":339.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":398.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":398.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":683.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":804.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":683.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":683.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":804.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":804.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":410.9714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":410.9714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":426.3625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":426.3625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":432.4949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":432.4949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":448.5474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":448.5474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":464.2191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":464.2191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":470.8324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":470.8324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":487.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":487.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":488.6284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":488.6284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":504.3001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":504.3001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":510.9135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":510.9135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":537.6877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":537.6877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":581.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":581.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":410.9714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":410.9714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":426.3625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":426.3625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":432.4949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":432.4949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":448.5474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":448.5474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":464.2191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":464.2191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":470.8324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":470.8324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":487.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":487.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":488.6284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":488.6284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":504.3001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":504.3001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":510.9135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":510.9135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":537.6877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":537.6877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":581.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":581.5765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33419","description":"TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":430.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33419","description":"TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":430.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":430.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33418","description":"TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1391.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1391.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33418","description":"TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1391.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1391.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":652.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":767.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":652.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":767.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":652.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":652.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":767.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":767.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":735.7283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":735.7283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":787.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":787.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":805.3491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":805.3491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":868.8576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":868.8576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":735.7283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":735.7283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":787.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":787.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":805.3491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":805.3491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":868.8576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":868.8576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33477","description":"TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1056.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1056.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33477","description":"TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1056.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1056.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT REMOVAL PERM LEADLESS PM RIGHT VENTR W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33275","description":"TCAT REMOVAL PERM LEADLESS PM RIGHT VENTR W/IMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":361.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":424.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT REMOVAL PERM LEADLESS PM RIGHT VENTR W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33275","description":"TCAT REMOVAL PERM LEADLESS PM RIGHT VENTR W/IMG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":361.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":424.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":424.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37218","description":"TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":558.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":657.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":702.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37218","description":"TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":558.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":558.773,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":657.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":657.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":702.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37217","description":"TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":748.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":880.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37217","description":"TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":748.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":748.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":880.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":880.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1150.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1150.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1150.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1150.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99366","description":"TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99366","description":"TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99368","description":"TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99368","description":"TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99367","description":"TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99367","description":"TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4261F","description":"TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.75,"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":"2022","billing_code":"A9500","description":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9502","description":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9502","description":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":77.6571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":77.6571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":77.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":77.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.0903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.0903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":77.6571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":77.6571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":77.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":77.9377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.0903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.0903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":98.4592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":98.4592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":98.4592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":98.4592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 11-20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98967","description":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 11-20 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 11-20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98967","description":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 11-20 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 21-30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98968","description":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 21-30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 21-30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98968","description":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 21-30 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98966","description":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 5-10 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98966","description":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 5-10 MIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77306","description":"TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77306","description":"TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPORARY ABSORBABLE LACRIMAL DUCT IMPLANT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4262","description":"TEMPORARY ABSORBABLE LACRIMAL DUCT IMPLANT EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPORARY ABSORBABLE LACRIMAL DUCT IMPLANT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4262","description":"TEMPORARY ABSORBABLE LACRIMAL DUCT IMPLANT EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":346.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":346.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":346.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":310.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":310.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":251.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":296.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":251.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":296.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":296.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":434.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":434.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":434.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.164,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":178.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":178.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":564.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":564.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":525.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":525.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENS STIMULATES NERVES IN THE AURICULAR REGION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0721","description":"TENS STIMULATES NERVES IN THE AURICULAR REGION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3011.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3011.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7681","description":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7681","description":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2975.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2975.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1247.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1247.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1911.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1911.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2216.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2216.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1472.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1472.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1166.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1166.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":633.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":795.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":795.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":799.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":799.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":740.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":740.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":317.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":317.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":352.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":352.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81345","description":"TERT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TESTOSTERONE PELLET IMPLANT 75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1073","description":"TESTOSTERONE PELLET IMPLANT 75 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TESTOSTERONE PELLET IMPLANT 75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1073","description":"TESTOSTERONE PELLET IMPLANT 75 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TGFBI GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81333","description":"TGFBI GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TH CNSLT CC SUBSQT PHYS 50 MIN CMNCT PT  AND  PROV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0509","description":"TH CNSLT CC SUBSQT PHYS 50 MIN CMNCT PT  AND  PROV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":98.4592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":98.4592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TH CNSLT CC SUBSQT PHYS 50 MIN CMNCT PT  AND  PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0509","description":"TH CNSLT CC SUBSQT PHYS 50 MIN CMNCT PT  AND  PROV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":98.4592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":98.4592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TH CONSULT CC INIT PHYS 60 MIN CMNCT PT  AND  PROV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0508","description":"TH CONSULT CC INIT PHYS 60 MIN CMNCT PT  AND  PROV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":98.4592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":98.4592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TH CONSULT CC INIT PHYS 60 MIN CMNCT PT  AND  PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0508","description":"TH CONSULT CC INIT PHYS 60 MIN CMNCT PT  AND  PROV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.6976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.9782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":98.4592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":98.4592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER ACTIVATION IMPL PHRENIC NRV STIMULATOR SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93150","description":"THER ACTIVATION IMPL PHRENIC NRV STIMULATOR SYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER ACTIVATION IMPL PHRENIC NRV STIMULATOR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93150","description":"THER ACTIVATION IMPL PHRENIC NRV STIMULATOR SYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97129","description":"THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97129","description":"THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97130","description":"THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97130","description":"THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.57,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.47,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":298.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":298.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":298.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":227.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":227.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":227.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER SVC N-SP-GENRATJ DEV PRGRMG AND MODIFICAJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92606","description":"THER SVC N-SP-GENRATJ DEV PRGRMG AND MODIFICAJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER SVC N-SP-GENRATJ DEV PRGRMG AND MODIFICAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92606","description":"THER SVC N-SP-GENRATJ DEV PRGRMG AND MODIFICAJ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAGENESIS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2008","description":"THERAGENESIS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAGENESIS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2008","description":"THERAGENESIS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.0286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":71.2642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":73.1881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAMEND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4342","description":"THERAMEND PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAMEND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4342","description":"THERAMEND PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.29,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":154.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":154.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":77.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":77.09,"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":null,"billing_code":"4018F","description":"THERAPEUTIC EXERCISE INVOLVED JTS INST/PRESCRIBE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.57,"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":"2022","billing_code":"96375","description":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.57,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.77,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.54,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.91,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62329","description":"THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62329","description":"THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":248.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":248.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THERASKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4121","description":"THERASKIN PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERASKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4121","description":"THERASKIN PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64628","description":"THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64628","description":"THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64629","description":"THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64629","description":"THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":143.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":143.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32555","description":"THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":270.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32555","description":"THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":270.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":270.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32554","description":"THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32554","description":"THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":181.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":181.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK BI CONT INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64469","description":"THORACIC FASCIAL PLANE BLOCK BI CONT INFUSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK BI CONT INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64469","description":"THORACIC FASCIAL PLANE BLOCK BI CONT INFUSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK BI INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64468","description":"THORACIC FASCIAL PLANE BLOCK BI INJECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK BI INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64468","description":"THORACIC FASCIAL PLANE BLOCK BI INJECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64467","description":"THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64467","description":"THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK UNI INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64466","description":"THORACIC FASCIAL PLANE BLOCK UNI INJECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC FASCIAL PLANE BLOCK UNI INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64466","description":"THORACIC FASCIAL PLANE BLOCK UNI INJECTION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":90.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":90.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC PC ORTHOSIS STERNAL COMP CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1320","description":"THORACIC PC ORTHOSIS STERNAL COMP CUSTOM FAB","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2925.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2925.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1235.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1235.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1235.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1235.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":986.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":986.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":986.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":704.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":704.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":306.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":360.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":306.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":306.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":360.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":360.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":353.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":353.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":353.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":617.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":617.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":617.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":686.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":686.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":815.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":815.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":815.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":192.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":192.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":855.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":855.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":855.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":794.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":794.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":794.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":630.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":630.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1021.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1021.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1021.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1021.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":704.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":704.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":720.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":720.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":518.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":518.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":899.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":899.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":899.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":899.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":737.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":737.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":771.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":771.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":771.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":671.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":671.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":671.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":682.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":682.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":442.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":442.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":442.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":686.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":686.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":686.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":495.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":495.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":495.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":450.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":450.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":450.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":693.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":693.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":693.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":619.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":619.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":619.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":386.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":386.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":386.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":540.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":540.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":811.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":811.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":811.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":474.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":474.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":641.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":641.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":641.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":406.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":406.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":407.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":407.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32701","description":"THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32701","description":"THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":849.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":849.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":849.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":849.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":764.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":764.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":764.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":720.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":720.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":720.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":682.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":682.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":682.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":251.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":251.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":251.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ART/VENOUS INFSN W/IMAGE SUBSQ TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37213","description":"THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37213","description":"THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS ARTERIAL INFUSION ICRA RS AND I INIT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37211","description":"THROMBOLYSIS ARTERIAL INFUSION ICRA RS AND I INIT TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":256.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS ARTERIAL INFUSION ICRA RS AND I INIT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37211","description":"THROMBOLYSIS ARTERIAL INFUSION ICRA RS AND I INIT TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":256.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":256.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":301.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":301.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37212","description":"THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":266.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37212","description":"THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":226.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":226.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":266.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":642.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":642.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":642.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":998.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":998.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":998.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":998.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":173.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":173.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":189.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":189.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":129.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":129.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TICK-BORNE ENCEPH VACC INACTIVATED 0.25ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90626","description":"TICK-BORNE ENCEPH VACC INACTIVATED 0.25ML IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TICK-BORNE ENCEPH VACC INACTIVATED 0.25ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90626","description":"TICK-BORNE ENCEPH VACC INACTIVATED 0.25ML IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90627","description":"TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90627","description":"TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TINT PHOTOCHROMATIC PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2744","description":"TINT PHOTOCHROMATIC PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TINT PHOTOCHROMATIC PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2744","description":"TINT PHOTOCHROMATIC PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":401.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":472.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":494.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":401.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":401.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":472.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":472.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":494.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":494.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.3805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.3805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.3805,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":136.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":136.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":380.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":447.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":492.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":380.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":380.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":447.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":447.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":492.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":492.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":110.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":110.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":87.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":87.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":877.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":877.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":877.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86364","description":"TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.65,"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":null,"billing_code":"4242F","description":"TLK RE SPRVSD XRCS PROG TO PTS BACK PN  GT 12WKS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CORSET FRONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0970","description":"TLSO CORSET FRONT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.28,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":935.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":935.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":630.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":630.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1457.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1457.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":266.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":266.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":240.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":240.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":303.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":310.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":310.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":475.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":475.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1077.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1077.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":727.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":727.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":965.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1666.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1666.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1164.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1164.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":839.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":839.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":944.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":944.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1174.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1174.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1200.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1200.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":329.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":329.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":535.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":535.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":722.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":722.51,"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":null,"billing_code":"1033F","description":"TOBACCO NON-SMOKER  AND  NO 2NDHAND SMOKE EXPOSURE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SCR NOT PERF/TOBACCO CESSAT INT NOT PRVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1313","description":"TOBACCO SCR NOT PERF/TOBACCO CESSAT INT NOT PRVD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SCR NOT PERF/TOBACCO CESSAT INT NOT PRVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1313","description":"TOBACCO SCR NOT PERF/TOBACCO CESSAT INT NOT PRVD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.58,"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":"2022","billing_code":"J7685","description":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOILET RAIL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0243","description":"TOILET RAIL EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":236.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":236.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":236.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":179.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":152.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":152.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":179.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":179.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":173.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":173.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":173.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPICAL ADMIN PRADEMAGENE ZAMIKERACEL PER TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3389","description":"TOPICAL ADMIN PRADEMAGENE ZAMIKERACEL PER TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPICAL ADMIN PRADEMAGENE ZAMIKERACEL PER TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3389","description":"TOPICAL ADMIN PRADEMAGENE ZAMIKERACEL PER TX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.22,"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":null,"billing_code":"G9522","description":"TOT #ED VISITS  and  IP GT or equal to 2 PAST 12 MO/NO SCR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DISC ARTHRP ANT APPR DISC 2ND LEVEL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22858","description":"TOT DISC ARTHRP ANT APPR DISC 2ND LEVEL CERVICAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":516.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1283.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1370.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1370.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":706.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":706.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":706.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22858","description":"TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":516.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22858","description":"TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":516.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":516.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1283.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1283.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1370.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1370.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1370.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1370.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":213.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":213.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.85,"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":null,"billing_code":"G9521","description":"TOTAL NUMBER ED VISITS  and  IP HOSP  LT  2 PAST 12 M","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4330","description":"TOTAL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4330","description":"TOTAL PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1998.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1998.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1998.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1998.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL TAU (TTAU)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84394","description":"TOTAL TAU (TTAU)","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":543.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":543.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TP53 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81351","description":"TP53 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":481.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":481.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TP53 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81353","description":"TP53 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TP53 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81352","description":"TP53 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":247.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TPMT GENE ANALAYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81335","description":"TPMT GENE ANALAYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":522.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":522.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":247.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":247.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":247.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":734.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":734.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":734.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1002.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1002.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1002.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1002.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":933.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":933.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":933.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":933.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":933.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":933.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":404.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":220.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":220.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":404.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":404.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":389.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":389.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":355.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":418.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":355.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":418.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":418.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":205.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":205.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":241.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":241.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":172.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":172.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":203.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":203.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":421.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":496.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":421.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":421.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":496.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":496.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":235.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":235.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":235.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":83.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":83.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":576.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":576.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":576.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.56,"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":null,"billing_code":"G8808","description":"TRANS-ABD/TRANS-VAG U/S NOT PRFRM RSN NOT GIVEN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCARPAL/MC/PART HAND DISARTICULATION PROS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6026","description":"TRANSCARPAL/MC/PART HAND DISARTICULATION PROS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4193.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4193.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":343.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":275.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":275.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":343.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":343.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34712","description":"TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS AND I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":556.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34712","description":"TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS AND I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":556.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":556.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":437.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":485.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":437.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":437.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":485.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER PLACEMENT and SBSQ REMOVAL CEPD PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33370","description":"TRANSCATHETER PLACEMENT and SBSQ REMOVAL CEPD PERQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER PLACEMENT and SBSQ REMOVAL CEPD PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33370","description":"TRANSCATHETER PLACEMENT and SBSQ REMOVAL CEPD PERQ","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33366","description":"TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1289.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1516.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1516.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33366","description":"TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1289.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1289.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1516.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1516.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.5761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.5761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.9571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.9571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.8091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.8091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":154.1719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":154.1719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.9976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.9976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":174.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":174.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.5761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.5761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.9571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.9571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.8091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.8091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":154.1719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":154.1719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.9976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.9976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":174.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":174.7535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERVICAL ABLATION UTERINE FIBROID RF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58580","description":"TRANSCERVICAL ABLATION UTERINE FIBROID RF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2240.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2240.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":258.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERVICAL ABLATION UTERINE FIBROID RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58580","description":"TRANSCERVICAL ABLATION UTERINE FIBROID RF","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2240.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2240.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":258.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":304.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":304.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1044.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1044.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1044.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1044.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCUTANEOUS TIBIAL NERVE STIMULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0736","description":"TRANSCUTANEOUS TIBIAL NERVE STIMULATOR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":410.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCUTN ELEC NRV STIM ELEC STIM TRIGEMINAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0733","description":"TRANSCUTN ELEC NRV STIM ELEC STIM TRIGEMINAL NRV","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":410.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":410.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCYTE PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4182","description":"TRANSCYTE PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCYTE PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4182","description":"TRANSCYTE PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1320.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1320.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1320.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1320.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":396.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":396.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":396.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSESOPHAGEAL DOPPLER FOR CARDIAC MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9157","description":"TRANSESOPHAGEAL DOPPLER FOR CARDIAC MONITORING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSESOPHAGEAL DOPPLER FOR CARDIAC MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9157","description":"TRANSESOPHAGEAL DOPPLER FOR CARDIAC MONITORING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":164.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":164.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":193.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":193.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":262.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":262.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER BENCH TUB/TOILET W/WO COMMODE OPENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0247","description":"TRANSFER BENCH TUB/TOILET W/WO COMMODE OPENING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3300.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3300.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER TUB RAIL ATTACHMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0246","description":"TRANSFER TUB RAIL ATTACHMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSITIONAL CARE MANAGE SRVC 14 DAY DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99495","description":"TRANSITIONAL CARE MANAGE SRVC 14 DAY DISCHARGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.2635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.2635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":131.3858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":131.3858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":133.3097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":133.3097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":178.8618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":178.8618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSITIONAL CARE MANAGE SRVC 7 DAY DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99496","description":"TRANSITIONAL CARE MANAGE SRVC 7 DAY DISCHARGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":167.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":167.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":169.2424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":169.2424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":171.6472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":171.6472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":229.0634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":229.0634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSJ CARE MGMT HIGH MDM F2F 7 CAL D DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99496","description":"TRANSJ CARE MGMT HIGH MDM F2F 7 CAL D DISCHARGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":167.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":167.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":169.2424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":169.2424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":171.6472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":171.6472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":229.0634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":229.0634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSJ CARE MGMT HIGH MDM F2F 7 CAL D DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99496","description":"TRANSJ CARE MGMT HIGH MDM F2F 7 CAL D DISCHARGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":167.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":167.8395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":169.2424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":169.2424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":171.6472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":171.6472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":229.0634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":229.0634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSJ CARE MGMT MOD MDM F2F 14 CAL D DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99495","description":"TRANSJ CARE MGMT MOD MDM F2F 14 CAL D DISCHARGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.2635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.2635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":131.3858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":131.3858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":133.3097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":133.3097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":178.8618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":178.8618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSJ CARE MGMT MOD MDM F2F 14 CAL D DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99495","description":"TRANSJ CARE MGMT MOD MDM F2F 14 CAL D DISCHARGE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.2635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.2635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":131.3858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":131.3858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":133.3097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":133.3097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":178.8618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":178.8618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMITTER; EXT  USE WITH NONDME INTRSTL CGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9277","description":"TRANSMITTER; EXT  USE WITH NONDME INTRSTL CGM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":522.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMITTER; EXT  USE WITH NONDME INTRSTL CGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9277","description":"TRANSMITTER; EXT  USE WITH NONDME INTRSTL CGM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":522.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMITTER; EXT INTERSTITIAL CONT GLU MON SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9277","description":"TRANSMITTER; EXT INTERSTITIAL CONT GLU MON SYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":522.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":958.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":958.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":958.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":958.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSORAL LOWER ESOPHAGEAL MYOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43497","description":"TRANSORAL LOWER ESOPHAGEAL MYOTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":522.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":614.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSORAL LOWER ESOPHAGEAL MYOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43497","description":"TRANSORAL LOWER ESOPHAGEAL MYOTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":522.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":522.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":614.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":614.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1283.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1283.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1283.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55874","description":"TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2793.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2793.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55874","description":"TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2793.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2793.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1083.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1083.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1083.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1083.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPORTATION PRTBLE EKG FACL/LOCATION PER PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"R0076","description":"TRANSPORTATION PRTBLE EKG FACL/LOCATION PER PT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPORTATION PRTBLE EKG FACL/LOCATION PER PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"R0076","description":"TRANSPORTATION PRTBLE EKG FACL/LOCATION PER PT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":703.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":703.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33871","description":"TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2692.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2692.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33871","description":"TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2692.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2692.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1190.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1190.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":119.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":119.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1190.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1190.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":407.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":407.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":407.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":208.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":208.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":361.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":361.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":361.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRB@ REARRANGEMENT ANAL AMPLIFICATION METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81340","description":"TRB@ REARRANGEMENT ANAL AMPLIFICATION METHOD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":156.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":156.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRB@ REARRANGEMENT ANAL DIRECT PROBE METHODOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81341","description":"TRB@ REARRANGEMENT ANAL DIRECT PROBE METHODOLOGY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":303.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":303.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":789.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":791.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":789.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":789.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":791.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":791.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRG@ GENE REARRANGEMENT ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81342","description":"TRG@ GENE REARRANGEMENT ANALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":151.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":151.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRGT GEN SEQ ALYS PNL SOLID ORGN NEO DNA 55-74","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0242U","description":"TRGT GEN SEQ ALYS PNL SOLID ORGN NEO DNA 55-74","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3750.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3750.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 311 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0239U","description":"TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 311 Plus","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2625.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2625.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 83 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0326U","description":"TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 83 Plus","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3750.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3750.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRGT GEN SEQ ALYS SLD ORGN NEO DNA 324 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0037U","description":"TRGT GEN SEQ ALYS SLD ORGN NEO DNA 324 GENES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2625.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2625.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRI MEMBRANE WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4344","description":"TRI MEMBRANE WRAP PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRI MEMBRANE WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4344","description":"TRI MEMBRANE WRAP PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRI-MEMBRANE WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4344","description":"TRI-MEMBRANE WRAP PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIAMCINOLONE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7683","description":"TRIAMCINOLONE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIAMCINOLONE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7683","description":"TRIAMCINOLONE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIAMCINOLONE INHAL COMP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7684","description":"TRIAMCINOLONE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIAMCINOLONE INHAL COMP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7684","description":"TRIAMCINOLONE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1816.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1816.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1816.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1816.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCAL ADD OVER 3.25D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2320","description":"TRIFOCAL ADD OVER 3.25D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCAL ADD OVER 3.25D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2320","description":"TRIFOCAL ADD OVER 3.25D","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCAL SEG WIDTH OVER 28 MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2319","description":"TRIFOCAL SEG WIDTH OVER 28 MM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCAL SEG WIDTH OVER 28 MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2319","description":"TRIFOCAL SEG WIDTH OVER 28 MM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2307","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2307","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2308","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2308","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 2.12-4.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2309","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2309","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2310","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2310","description":"TRIFOCL  Plus /-4.25- Plus /-7.00D SPHER OVR 6.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2311","description":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL E","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2311","description":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 0.25-2.25D CYL E","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2312","description":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL E","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2312","description":"TRIFOCL  Plus /-7.25- Plus /-12.00D SPHER 2.25-4.00D CYL E","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2303","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 0.12-2.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2303","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 0.12-2.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 2.25-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2304","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 2.25-4.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 2.25-4.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2304","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 2.25-4.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 4.25-6.00 CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2305","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 4.25-6.00 CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER 4.25-6.00 CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2305","description":"TRIFOCL PLANO  Plus /-4.00D SPHER 4.25-6.00 CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER OVR 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2306","description":"TRIFOCL PLANO  Plus /-4.00D SPHER OVR 6.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL PLANO  Plus /-4.00D SPHER OVR 6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2306","description":"TRIFOCL PLANO  Plus /-4.00D SPHER OVR 6.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2313","description":"TRIFOCL Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2313","description":"TRIFOCL Plus /-7.25- Plus /-12.00D SPHER 4.25-6.00D CYL EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL SPHER OVER  Plus /-12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2314","description":"TRIFOCL SPHER OVER  Plus /-12.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCL SPHER OVER  Plus /-12.00D PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2314","description":"TRIFOCL SPHER OVER  Plus /-12.00D PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":103.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":103.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIGRAFT FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4377","description":"TRIGRAFT FT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIGRAFT FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4377","description":"TRIGRAFT FT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I 1ST ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37246","description":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I 1ST ART","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1616.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1616.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I 1ST ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37246","description":"TRLML BALO ANGIOP OPEN/PERQ IMG S and I 1ST ART","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1616.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1616.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37248","description":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I 1ST VEIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1122.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1122.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":249.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37248","description":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I 1ST VEIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1122.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1122.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":249.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":249.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I ADDL VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37249","description":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I ADDL VEIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":470.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I ADDL VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37249","description":"TRLML BALO ANGIOP OPEN/PERQ W/IMG S and I ADDL VEIN","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":122.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":122.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":470.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":470.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36907","description":"TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S and I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":549.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36907","description":"TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S and I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":107.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":107.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":549.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":549.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":236.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":236.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":245.4766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":245.4766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":250.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":250.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":283.3332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":283.3332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":288.5637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":288.5637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":309.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":309.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":349.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":349.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":359.0463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":359.0463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":359.9281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":359.9281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":365.2388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":365.2388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":460.3312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":460.3312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":530.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":236.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":236.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":245.4766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":245.4766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":250.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":250.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":283.3332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":283.3332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":288.5637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":288.5637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":309.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":309.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":349.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":349.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":359.0463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":359.0463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":359.9281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":359.9281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":365.2388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":365.2388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":460.3312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":460.3312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":100.4031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":236.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":236.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":245.4766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":245.4766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":250.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":250.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":283.3332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":283.3332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":288.5637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":288.5637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":309.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":309.7265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":349.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":349.5271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":359.0463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":359.0463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":359.9281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":359.9281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":365.2388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":365.2388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.8566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":38.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":460.3312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":460.3312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":50.2016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":75.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.6751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":530.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":530.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":530.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSF BENCH HEVY DUTY TUB/TOILET W/WO COMMODE OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0248","description":"TRNSF BENCH HEVY DUTY TUB/TOILET W/WO COMMODE OP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":43.8888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ PED LVR and BWL MES CD154 Plus T CLL WHL PRPH BLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81560","description":"TRNSPLJ PED LVR and BWL MES CD154 Plus T CLL WHL PRPH BLD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":480.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":480.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ REJ KDN MRNA GENE XPRSN PRFLG QPCR 139","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81558","description":"TRNSPLJ REJ KDN MRNA GENE XPRSN PRFLG QPCR 139","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2430.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2430.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":341.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":341.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":180.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":180.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53854","description":"TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1392.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1392.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":258.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":303.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53854","description":"TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1392.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1392.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":258.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":303.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":303.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":531.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":624.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":531.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":624.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL ROBOTIC-ASSISTED WATERJET RESECTION PRST8","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52597","description":"TRURL ROBOTIC-ASSISTED WATERJET RESECTION PRST8","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":363.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":427.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL ROBOTIC-ASSISTED WATERJET RESECTION PRST8","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52597","description":"TRURL ROBOTIC-ASSISTED WATERJET RESECTION PRST8","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":363.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":363.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":427.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":427.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ PARASYMP and SYMP W/5 MIN PASIVE TILT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95924","description":"TSTG ANS FUNCJ PARASYMP and SYMP W/5 MIN PASIVE TILT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ PARASYMP and SYMP W/5 MIN PASIVE TILT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95924","description":"TSTG ANS FUNCJ PARASYMP and SYMP W/5 MIN PASIVE TILT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTNS CONTROLLED BY PHONE APPLICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0737","description":"TTNS CONTROLLED BY PHONE APPLICATION","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":584.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":584.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":584.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"TUB STOOL OR BENCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0245","description":"TUB STOOL OR BENCH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4281","description":"TUBING FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4281","description":"TUBING FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":330.8092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":330.8092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":346.2003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":346.2003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":352.3327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":352.3327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.8903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.8903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":386.2814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":386.2814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":392.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":392.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":399.7086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":399.7086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":439.8498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":439.8498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":443.5974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":443.5974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":462.5156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":462.5156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":470.9928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":470.9928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":524.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":524.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":330.8092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":330.8092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":346.2003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":346.2003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":352.3327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":352.3327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.8903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.8903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":386.2814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":386.2814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":392.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":392.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":399.7086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":399.7086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":439.8498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":439.8498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":443.5974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":443.5974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":462.5156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":462.5156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":470.9928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":470.9928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":524.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":524.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.2737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.2737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":328.3843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":328.3843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":334.0357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":334.0357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.8903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.8903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":371.4514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":371.4514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":386.2814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":386.2814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":392.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":392.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":439.8498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":439.8498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":443.5974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":443.5974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":462.5156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":462.5156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":470.9928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":470.9928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":524.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":524.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.2737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.2737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":328.3843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":328.3843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":334.0357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":334.0357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.8903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.8903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":371.4514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":371.4514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":386.2814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":386.2814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":392.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":392.4138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":439.8498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":439.8498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":443.5974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":443.5974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":462.5156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":462.5156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":470.9928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":470.9928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":524.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":524.2605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.27,"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":null,"billing_code":"3260F","description":"TUMOR/NODES/HISTO GRADE DOCUMENTED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":500.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":276.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":234.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":234.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":276.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":276.45,"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":null,"billing_code":"5050F","description":"TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.38,"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":"2022","billing_code":"77334","description":"TX DEVICES DESIGN  AND  CONSTRUCTION COMPLEX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":169.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":169.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":207.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":207.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":999.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":999.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":999.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":999.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":232.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":232.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":232.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":194.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":194.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.87,"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":null,"billing_code":"5020F","description":"TX SUMM RPRT COMMUN PHYS AND PT 1 MO COMPLETE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":61.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":61.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":91.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":91.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92567","description":"TYMPANOMETRY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92567","description":"TYMPANOMETRY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":503.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":592.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":503.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":503.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":592.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":592.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":96.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":96.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":57.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":57.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":669.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":788.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":669.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":669.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":788.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":788.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMS GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81346","description":"TYMS GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":131.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":131.11,"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":null,"billing_code":"1052F","description":"TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Tympanometry","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92567","description":"Tympanometry","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"U-V LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2755","description":"U-V LENS PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"U-V LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2755","description":"U-V LENS PER LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"U2AF1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81357","description":"U2AF1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UE REHAB SYS PROV AC ASST TO FACL MUSCLE RE-EDU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0738","description":"UE REHAB SYS PROV AC ASST TO FACL MUSCLE RE-EDU","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1599.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1599.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15997.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15997.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UGT1A1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81350","description":"UGT1A1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":175.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2250.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":67.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":67.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":449.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":449.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":449.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":51.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":51.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":126.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":126.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":157.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":157.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNCLASS RX/BIOLOGICAL USED FOR ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3591","description":"UNCLASS RX/BIOLOGICAL USED FOR ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNCLASS RX/BIOLOGICAL USED FOR ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3591","description":"UNCLASS RX/BIOLOGICAL USED FOR ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":900.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":900.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":900.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":900.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED URINALYSIS PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81099","description":"UNLISTED URINALYSIS PROCEDURE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.82,"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":null,"billing_code":"G9308","description":"UNPLAN RTN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":279.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2357.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2357.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2973.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2973.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":456.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":456.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":489.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":489.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3066.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3066.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":201.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":201.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2156.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2156.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":367.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":367.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":406.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":406.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":364.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":364.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":124.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":124.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":295.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":295.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":228.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":228.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":326.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":384.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":326.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":326.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":384.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":384.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":239.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":409.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":409.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":184.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":184.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":125.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":125.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":570.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":570.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":484.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":484.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":140.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":140.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2370.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2370.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":338.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":338.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":217.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":217.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":233.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":233.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":252.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":252.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":182.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":182.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3550.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3550.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":215.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":215.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":149.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":149.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":132.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":132.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":258.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":258.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":286.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":286.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":438.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":438.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":145.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":145.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY FX ORTHOSIS HUMERAL PREF STRAPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3981","description":"UPPER EXTREMITY FX ORTHOSIS HUMERAL PREF STRAPS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":861.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":861.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1429.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1429.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3396.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3396.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3574.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3574.89,"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":null,"billing_code":"3141F","description":"UPPER GI ENDO REPORT SHOW NO SUSPECT BARRETT'S","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 LIMB ORTHOSIS NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3999","description":"UPPER LIMB ORTHOSIS NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":540.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":540.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":703.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":703.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":703.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":115.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":115.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":86.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":86.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":519.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":519.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":519.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":218.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":218.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":257.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":257.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":279.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":237.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":237.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":279.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":279.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":695.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":695.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":695.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":563.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":563.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":563.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":302.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":355.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":302.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":302.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":355.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":355.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":357.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":357.56,"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":null,"billing_code":"G8709","description":"URI EP HAD COMPETING DX ON/3 DAYS AFTER EP DATE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.0,"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":"2022","billing_code":"A4333","description":"URIN CATHETER ANCHR DEVICE ADHES SKIN ATTCH EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81005","description":"URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.16,"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":null,"billing_code":"0509F","description":"URINARY INCONTINENCE PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.57,"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":"2022","billing_code":"A4358","description":"URINARY LEG BAG; VINYL W/WO TUBE EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE ALBUMIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82043","description":"URINE ALBUMIN QUANTITATIVE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE ALBUMIN SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82044","description":"URINE ALBUMIN SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.46,"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":"2022","billing_code":"81025","description":"URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE TEST OR REAGENT STRIPS OR TABLETS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4250","description":"URINE TEST OR REAGENT STRIPS OR TABLETS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE TEST OR REAGENT STRIPS OR TABLETS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4250","description":"URINE TEST OR REAGENT STRIPS OR TABLETS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81000","description":"URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81001","description":"URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81003","description":"URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81002","description":"URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":116.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":116.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":551.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":648.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":551.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":551.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":648.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":648.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":664.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":664.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":664.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":844.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":844.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":844.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":117.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":117.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":70.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":70.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76706","description":"US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76706","description":"US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":88.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":88.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":64.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":64.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":80.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":80.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":212.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":212.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":113.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":113.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":89.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":89.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.5355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":17.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":18.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":28.2572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.1115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":55.6726,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.6346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":78.4587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":59.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":59.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":104.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":104.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":53.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":53.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":69.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":69.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":166.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":166.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":45.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":45.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":54.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":54.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":94.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":94.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":105.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":105.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.96,"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":null,"billing_code":"6040F","description":"USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4265F","description":"USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 VERTICAL ELECTRODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92547","description":"USE VERTICAL ELECTRODES","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.24,"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":null,"billing_code":"4266F","description":"USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 INTRAVENOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3358","description":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3358","description":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.49,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.88,"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":"2022","billing_code":"J3357","description":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":485.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":485.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":60.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":60.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":609.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":609.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":75.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":75.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":751.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":751.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":239.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":239.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2391.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2391.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":93.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":93.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"negotiation_arrangement":"ffs","name":"VACCINIA VIRUS VACC LIVE 0.3 ML DOS FOR PERQ USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90622","description":"VACCINIA VIRUS VACC LIVE 0.3 ML DOS FOR PERQ USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACCINIA VIRUS VACC LIVE 0.3 ML DOS FOR PERQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90622","description":"VACCINIA VIRUS VACC LIVE 0.3 ML DOS FOR PERQ USE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACUUM DRAINAGE COLLECTION UNIT  AND  TUBING KIT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7048","description":"VACUUM DRAINAGE COLLECTION UNIT  AND  TUBING KIT EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACUUM DRAINAGE COLLECTION UNIT  AND  TUBING KIT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7048","description":"VACUUM DRAINAGE COLLECTION UNIT  AND  TUBING KIT EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VADADUSTAT ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0901","description":"VADADUSTAT ORAL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VADADUSTAT ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0901","description":"VADADUSTAT ORAL 1 MG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":663.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":663.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":663.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":585.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":688.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":585.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":585.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":688.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":688.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":704.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":829.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":704.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":704.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":829.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":829.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1433.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1433.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1433.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1433.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1124.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":956.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":956.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1124.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1124.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":956.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":956.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1511.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1511.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1511.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1511.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1337.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1337.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1337.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1337.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33391","description":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP COMPLEX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1847.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1847.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33391","description":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP COMPLEX","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1847.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1847.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33390","description":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP SIMPLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1558.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1558.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33390","description":"VALVULOPLASTY AORTIC VALVE OPEN CARD BYP SIMPLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1558.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1558.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":594.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":594.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":594.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1628.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1628.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1628.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1628.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1637.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1637.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1637.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1637.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1656.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1656.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1656.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1656.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":195.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":195.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2430","description":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2430","description":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS/PLASTC LNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2410","description":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS/PLASTC LNS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS/PLASTC LNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2410","description":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS/PLASTC LNS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":534.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":534.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55250","description":"VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":297.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55250","description":"VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":138.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":138.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":162.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":162.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":297.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":297.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93896","description":"VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93896","description":"VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":95.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":95.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOVASOSTOMY VASOVASORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55400","description":"VASOVASOSTOMY VASOVASORRHAPHY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOVASOSTOMY VASOVASORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55400","description":"VASOVASOSTOMY VASOVASORRHAPHY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":290.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":290.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH 2-12 HOURS UNMONITORED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95711","description":"VEEG BY TECH 2-12 HOURS UNMONITORED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH 2-12 HOURS UNMONITORED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95711","description":"VEEG BY TECH 2-12 HOURS UNMONITORED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95713","description":"VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":440.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":518.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95713","description":"VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":440.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":440.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":518.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH 2-12 HR INTERMITTENT MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95712","description":"VEEG BY TECH 2-12 HR INTERMITTENT MONITORING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":330.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":389.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH 2-12 HR INTERMITTENT MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95712","description":"VEEG BY TECH 2-12 HR INTERMITTENT MONITORING","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":330.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":330.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":389.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":389.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95716","description":"VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1037.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1037.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":881.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95716","description":"VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1037.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1037.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":881.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":881.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95715","description":"VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":661.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":778.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95715","description":"VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":661.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":661.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":778.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":778.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR UNMONITORED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95714","description":"VEEG BY TECH EA INCR 12-26 HR UNMONITORED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR UNMONITORED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95714","description":"VEEG BY TECH EA INCR 12-26 HR UNMONITORED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":148.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":148.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":174.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":174.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEN-ARTL SHNT DETC IV MBUB NJX TCD ICR ART COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93898","description":"VEN-ARTL SHNT DETC IV MBUB NJX TCD ICR ART COMPL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":168.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEN-ARTL SHNT DETC IV MBUB NJX TCD ICR ART COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93898","description":"VEN-ARTL SHNT DETC IV MBUB NJX TCD ICR ART COMPL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":134.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":134.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":168.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":168.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENDAJE AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4279","description":"VENDAJE AC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENDAJE AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4279","description":"VENDAJE AC PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENDAJE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4252","description":"VENDAJE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENDAJE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4252","description":"VENDAJE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":123.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":123.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":38.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":38.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":71.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":71.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":114.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":114.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":34.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":34.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD ANOMALOUS/PERSISTENT SVC NT DRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93584","description":"VENOGRAPHY CHD ANOMALOUS/PERSISTENT SVC NT DRG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD ANOMALOUS/PERSISTENT SVC NT DRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93584","description":"VENOGRAPHY CHD ANOMALOUS/PERSISTENT SVC NT DRG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD AZYGOS/HEMIAZYGOS VENOUS SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93585","description":"VENOGRAPHY CHD AZYGOS/HEMIAZYGOS VENOUS SYSTEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD AZYGOS/HEMIAZYGOS VENOUS SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93585","description":"VENOGRAPHY CHD AZYGOS/HEMIAZYGOS VENOUS SYSTEM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":41.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":41.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD CORONARY SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93586","description":"VENOGRAPHY CHD CORONARY SINUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD CORONARY SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93586","description":"VENOGRAPHY CHD CORONARY SINUS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD VENOVENOUS COLLATERAL BELOW HEART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93588","description":"VENOGRAPHY CHD VENOVENOUS COLLATERAL BELOW HEART","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD VENOVENOUS COLLATERAL BELOW HEART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93588","description":"VENOGRAPHY CHD VENOVENOUS COLLATERAL BELOW HEART","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD VENOVENOUS COLTRL AT/ABOVE HRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93587","description":"VENOGRAPHY CHD VENOVENOUS COLTRL AT/ABOVE HRT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CHD VENOVENOUS COLTRL AT/ABOVE HRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93587","description":"VENOGRAPHY CHD VENOVENOUS COLTRL AT/ABOVE HRT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":50.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":50.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":76.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":76.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":141.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":141.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":56.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":56.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":84.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":84.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":48.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":48.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":82.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":82.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":120.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":120.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":78.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":78.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.03,"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":null,"billing_code":"4069F","description":"VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.58,"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":"2022","billing_code":"78458","description":"VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":112.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":112.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":31.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":31.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":37.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":37.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":106.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":106.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":27.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":27.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":32.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":32.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":676.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":676.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":676.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":20.0405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.9444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62180","description":"VENTRICULOCISTERNOSTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":915.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":915.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62180","description":"VENTRICULOCISTERNOSTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":915.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":915.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":999.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":999.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":999.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":999.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":586.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":690.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":586.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":586.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":690.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":690.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1606.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1606.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1606.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1606.0,"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":null,"billing_code":"G8565","description":"VERIFICATION  and  DOC SUDDEN/RAPIDLY PROG HEAR LOSS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1523.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1523.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1523.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1523.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":167.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":167.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL FRACTURE ASSESSMENT VIA DXA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77086","description":"VERTEBRAL FRACTURE ASSESSMENT VIA DXA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL FRACTURE ASSESSMENT VIA DXA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77086","description":"VERTEBRAL FRACTURE ASSESSMENT VIA DXA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1022.1677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1022.1677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.5761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.5761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.9571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.9571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.8091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.8091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":647.7704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":647.7704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":671.8391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":671.8391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":682.7211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":682.7211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":705.3869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":705.3869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":729.7362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":729.7362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":741.0992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":741.0992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":797.2127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":797.2127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":831.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":831.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":863.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":863.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":869.3586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":869.3586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":878.0562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":878.0562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1022.1677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1022.1677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.5761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.5761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.9571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.9571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.8091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.8091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.6166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":57.8971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":58.3781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":647.7704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":647.7704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":671.8391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":671.8391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":682.7211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":682.7211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":705.3869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":705.3869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":72.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":729.7362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":729.7362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":741.0992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":741.0992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":797.2127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":797.2127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":831.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":831.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":863.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":863.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":869.3586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":869.3586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":878.0562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":878.0562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIA MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4309","description":"VIA MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIA MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4309","description":"VIA MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4251","description":"VIM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4251","description":"VIM PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":19.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":19.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISIT COMPLEXITY INHERENT TO HOS INPT/OBS CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0545","description":"VISIT COMPLEXITY INHERENT TO HOS INPT/OBS CARE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISIT COMPLEXITY INHERENT TO HOS INPT/OBS CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0545","description":"VISIT COMPLEXITY INHERENT TO HOS INPT/OBS CARE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISIT CPLX INHERENT E and M ASSOC WITH MED CARE SRVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2211","description":"VISIT CPLX INHERENT E and M ASSOC WITH MED CARE SRVC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISIT CPLX INHERENT E and M ASSOC WITH MED CARE SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2211","description":"VISIT CPLX INHERENT E and M ASSOC WITH MED CARE SRVC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":26.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":26.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99172","description":"VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99172","description":"VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITAL CAPACITY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94150","description":"VITAL CAPACITY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITAL CAPACITY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94150","description":"VITAL CAPACITY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4317","description":"VITOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4317","description":"VITOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":803.79,"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":"2022","billing_code":"67039","description":"VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":803.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":803.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":691.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":691.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":691.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":834.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":834.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":834.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":729.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":729.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":729.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":876.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":876.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":876.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VKORC1 GENE ANALYSIS COMMON VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81355","description":"VKORC1 GENE ANALYSIS COMMON VARIANT(S)","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1876.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1876.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1876.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1876.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1812.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1812.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1812.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1812.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.3665,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":7.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":238.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":238.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":102.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":102.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":30.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":30.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":66.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":66.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86596","description":"VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY EACH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":42.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":42.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":49.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":49.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":946.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":946.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":946.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":946.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":737.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":737.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":737.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"W/C ACC M SWAWY RET/REM MTG HW JS/OTH DRV CTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1032","description":"W/C ACC M SWAWY RET/REM MTG HW JS/OTH DRV CTRL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"W/C ACC MAN SWAWY RET/REM MTG HW HEADREST CUSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1033","description":"W/C ACC MAN SWAWY RET/REM MTG HW HEADREST CUSH","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"W/C ACC MAN SWAWY RET/REM MTG HW TRNK/HIP SUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1034","description":"W/C ACC MAN SWAWY RET/REM MTG HW TRNK/HIP SUP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":109.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":109.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKER BATTERY PWRD WHEELED FOLDING ADJ/FIXED HT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0152","description":"WALKER BATTERY PWRD WHEELED FOLDING ADJ/FIXED HT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":52.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":52.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":35.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":35.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":471.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":471.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":177.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":177.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":224.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":224.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":121.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":121.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":841.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":841.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":943.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":943.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":611.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":611.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":633.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":633.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":561.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":561.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2090.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2090.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":862.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":862.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":862.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":97.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":97.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS PWR SEAT SYS CNTR MNT PWR ELEV LEG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1012","description":"WC ACCSS PWR SEAT SYS CNTR MNT PWR ELEV LEG EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2200.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2200.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":98.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":98.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":137.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":137.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3671.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3671.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3671.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3671.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3311.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3311.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3311.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3311.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3973.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3973.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3973.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3973.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4867.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4867.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4867.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4867.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7035.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7035.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7035.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7035.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6591.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6591.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":6591.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":6591.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2000.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2000.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":200.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":200.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2000.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2000.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2300.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2300.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":230.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":230.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2300.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2300.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":221.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2213.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2213.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":221.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":221.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2213.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2213.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":242.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":242.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2422.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2422.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":39.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":39.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":46.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":46.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","19","21","22","23","24","31","51","53","61"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":85.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":85.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WET MOUNTS INCL PREP VAGINAL CERV/SKIN SPECIMENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0111","description":"WET MOUNTS INCL PREP VAGINAL CERV/SKIN SPECIMENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WET MOUNTS INCL PREP VAGINAL CERV/SKIN SPECIMENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0111","description":"WET MOUNTS INCL PREP VAGINAL CERV/SKIN SPECIMENS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":13.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR AC LAT THIGH/KNEE SUPP ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0953","description":"WHEELCHAIR AC LAT THIGH/KNEE SUPP ANY TYPE EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":500.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":500.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.0,"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":"2022","billing_code":"E1028","description":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":225.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3300.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3300.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":3300.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3300.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":40.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":25.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":25.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":118.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":118.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY DYNAMIC POS HARDWARE BACK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2398","description":"WHEELCHAIR ACCESSORY DYNAMIC POS HARDWARE BACK","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2440.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2440.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY FOOT BOX ANY TYPE EACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0954","description":"WHEELCHAIR ACCESSORY FOOT BOX ANY TYPE EACH FOOT","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":300.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":300.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY POWER STANDING SYS ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2301","description":"WHEELCHAIR ACCESSORY POWER STANDING SYS ANY TYPE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5300.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5300.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":202.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":202.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":101.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":101.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":278.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":278.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":278.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":878.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":878.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":878.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR PEDIATRIC SIZE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1229","description":"WHEELCHAIR PEDIATRIC SIZE NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":175.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":175.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1750.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1750.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR SEAT CUSHION POWERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2610","description":"WHEELCHAIR SEAT CUSHION POWERED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":55.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":55.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR TRANSIT SECUR SYS INCL ALL COMP  and  ACC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1023","description":"WHEELCHAIR TRANSIT SECUR SYS INCL ALL COMP  and  ACC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":250.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR TRANSPORTATION SECUREMENT SYS ANY TYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1022","description":"WHEELCHAIR TRANSPORTATION SECUREMENT SYS ANY TYP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":900.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":900.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR VAN MILEAGE PER MILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0209","description":"WHEELCHAIR VAN MILEAGE PER MILE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR VAN MILEAGE PER MILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0209","description":"WHEELCHAIR VAN MILEAGE PER MILE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":810.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":810.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":810.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":739.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":739.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":739.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":635.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":63.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":63.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":635.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":635.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":474.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":47.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":47.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":474.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":474.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR; SPECIALLY SIZED OR CONSTRUCTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1220","description":"WHEELCHAIR; SPECIALLY SIZED OR CONSTRUCTED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":190.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":190.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1900.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1900.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":388.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":388.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1234.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1234.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":941.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":941.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2582.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2582.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":142.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":142.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":204.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":204.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":2040.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2040.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHIRLPOOL PORTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1300","description":"WHIRLPOOL PORTABLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":170.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":170.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHIRLPOOL TUB WALK-IN PORTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1301","description":"WHIRLPOOL TUB WALK-IN PORTABLE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":463.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":463.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":280.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":280.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":44.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":44.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1875.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1875.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":187.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":187.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1875.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1875.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1855.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1855.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":185.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":185.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1855.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1855.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1637.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1637.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":163.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":163.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1637.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1637.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1651.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1651.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":165.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":165.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1651.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1651.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":814.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":814.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":814.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR; DTACHBLE ARMS DTACHBLE FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1140","description":"WHLCHAIR; DTACHBLE ARMS DTACHBLE FOOTRESTS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":74.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":74.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":743.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":743.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":624.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":62.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":62.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":624.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":624.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":849.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":849.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":294.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":294.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":16.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":16.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":65.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":65.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":81.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":81.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BODY INTEGUMENTARY PHOTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96904","description":"WHOLE BODY INTEGUMENTARY PHOTOGRAPHY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BODY INTEGUMENTARY PHOTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96904","description":"WHOLE BODY INTEGUMENTARY PHOTOGRAPHY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.6321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":36.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":56.5143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE MITOCHONDRIAL GENOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81460","description":"WHOLE MITOCHONDRIAL GENOME","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":965.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":965.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE MITOCHONDRIAL GENOME ANALYSIS PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81465","description":"WHOLE MITOCHONDRIAL GENOME ANALYSIS PANEL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":702.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":702.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":994.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":994.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":99.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":99.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":994.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":994.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1117.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1117.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":111.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":111.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":1117.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1117.62,"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":null,"billing_code":"G9471","description":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED/DOC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.86,"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":"2022","billing_code":"A6550","description":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":24.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":24.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WNDFIX BIOWND WNDFIX Plus BIOWND Plus WNDFIX X Plus /X Plu","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4217","description":"WNDFIX BIOWND WNDFIX Plus BIOWND Plus WNDFIX X Plus /X Plu","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WNDFIX BIOWND WNDFIX Plus BIOWND Plus WNDFIX X Plus /X Plu","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4217","description":"WNDFIX BIOWND WNDFIX Plus BIOWND Plus WNDFIX X Plus /X Plu","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD A BIL MASTECTOMY/HX BIL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1280","description":"WOMEN WHO HAD A BIL MASTECTOMY/HX BIL MASTECTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 A BIL MASTECTOMY/HX BIL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1280","description":"WOMEN WHO HAD A BIL MASTECTOMY/HX BIL MASTECTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9708","description":"WOMEN WHO HAD BIL MASTECTOMY/HX BIL MASTECTOMY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CLEANSERS ANY TYPE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6260","description":"WOUND CLEANSERS ANY TYPE ANY SIZE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND CLEANSERS ANY TYPE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6260","description":"WOUND CLEANSERS ANY TYPE ANY SIZE","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":52.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":52.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":53.4481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":53.4481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":54.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":54.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":84.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":84.7715,"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":"2022","billing_code":"G0168","description":"WOUND CLOSURE UTILIZING TISSUE ADHESIVE ONLY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":52.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":52.6064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":53.4481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":53.4481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":54.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":54.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":84.7715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":84.7715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND FILLER DRY FORM PER G NOT OTHERWISE SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6262","description":"WOUND FILLER DRY FORM PER G NOT OTHERWISE SPEC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND FILLER DRY FORM PER G NOT OTHERWISE SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6262","description":"WOUND FILLER DRY FORM PER G NOT OTHERWISE SPEC","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND FILLER GEL/PASTE PER FL OZ NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6261","description":"WOUND FILLER GEL/PASTE PER FL OZ NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND FILLER GEL/PASTE PER FL OZ NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6261","description":"WOUND FILLER GEL/PASTE PER FL OZ NOS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.4,"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":null,"billing_code":"4260F","description":"WOUND SURFACE CULTURE TECHNIQUE USED","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDEX BIOSKIN PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4163","description":"WOUNDEX BIOSKIN PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDEX BIOSKIN PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4163","description":"WOUNDEX BIOSKIN PER SQUARE CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDPLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4326","description":"WOUNDPLUS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDPLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4326","description":"WOUNDPLUS PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":263.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":263.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":155.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":155.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":147.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":147.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":455.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":455.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1591.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1591.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":2029.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":2029.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":8171.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":8171.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":7471.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":7471.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":231.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":11.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":11.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-LINKED INTELLECTUAL DBLT DUP/DEL GENE ANALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81471","description":"X-LINKED INTELLECTUAL DBLT DUP/DEL GENE ANALYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":685.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-LINKED INTELLECTUAL DBLT GENOMIC SEQ ANALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81470","description":"X-LINKED INTELLECTUAL DBLT GENOMIC SEQ ANALYS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":685.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":685.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":73.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":73.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":531.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":625.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":531.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":531.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":625.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":625.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66991","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":433.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":509.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66991","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":433.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":433.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":509.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":509.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66988","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":518.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":610.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66988","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":518.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":518.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":610.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":610.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":462.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":543.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":462.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":462.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":543.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":543.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PRSTH CPLX INSJ 1 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66989","description":"XCAPSL CTRC RMVL INSJ IO LENS PRSTH CPLX INSJ 1 Plus","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":544.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":640.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PRSTH CPLX INSJ 1 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66989","description":"XCAPSL CTRC RMVL INSJ IO LENS PRSTH CPLX INSJ 1 Plus","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":544.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":544.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":640.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":640.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCEED TL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4353","description":"XCEED TL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCEED TL MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4353","description":"XCEED TL MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCELL AMNIO MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4280","description":"XCELL AMNIO MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCELL AMNIO MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4280","description":"XCELL AMNIO MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCELLERATE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4234","description":"XCELLERATE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCELLERATE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4234","description":"XCELLERATE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX W/ECG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94617","description":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX W/ECG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX W/ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94617","description":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX W/ECG","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":29.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":29.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":43.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":43.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":72.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":72.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC GT 48HR LT 7D RECORDING SCAN A/R R and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93241","description":"XTRNL ECG REC GT 48HR LT 7D RECORDING SCAN A/R R and I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC GT 48HR LT 7D RECORDING SCAN A/R R and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93241","description":"XTRNL ECG REC GT 48HR LT 7D RECORDING SCAN A/R R and I","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":158.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":158.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":186.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":186.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":68.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":68.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":15.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":15.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":17.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":17.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":28.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":28.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":33.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":33.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":833.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":833.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":977.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":977.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":21.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":21.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":459.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":540.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":459.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":459.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":540.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":540.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":18.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":18.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":108.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":108.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":127.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":127.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":20.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":20.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":23.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":23.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP DUAL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4358","description":"XWRAP DUAL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP DUAL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4358","description":"XWRAP DUAL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4204","description":"XWRAP PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4204","description":"XWRAP PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP PLUS PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4357","description":"XWRAP PLUS PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP PLUS PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4357","description":"XWRAP PLUS PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Y SET TUBING FOR PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4719","description":"Y SET TUBING FOR PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Y SET TUBING FOR PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4719","description":"Y SET TUBING FOR PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YOUTH SIZED DISPBL INCONT PRODUCT BRF/DIAPER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4533","description":"YOUTH SIZED DISPBL INCONT PRODUCT BRF/DIAPER EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YOUTH SIZED DISPBL INCONT PRODUCT BRF/DIAPER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4533","description":"YOUTH SIZED DISPBL INCONT PRODUCT BRF/DIAPER EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YOUTH SZD DISPBL INCONT PROD UNDWEAR/PULLON EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4534","description":"YOUTH SZD DISPBL INCONT PROD UNDWEAR/PULLON EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YOUTH SZD DISPBL INCONT PROD UNDWEAR/PULLON EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4534","description":"YOUTH SZD DISPBL INCONT PROD UNDWEAR/PULLON EA","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4253","description":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4253","description":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":79.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23"]},{"setting":"both","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":92.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZIKA VIRUS IGM ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86794","description":"ZIKA VIRUS IGM ANTIBODY","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":12.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":12.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":0.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":0.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":1.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":1.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZRSR2 GENE ANALYSIS COMMON VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81360","description":"ZRSR2 GENE ANALYSIS COMMON VARIANT(S)","negotiated_rates":[{"provider_references":[213469],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":144.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":144.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]}]}